Lead QNXT Configuration Analyst
Molina Healthcare Everett, Washington; Albany, New York; Wisconsin; Racine, Wisconsin; Milwaukee, Wisconsin; Green Bay, Wisconsin; Madison, Wisconsin; Scottsdale, Arizona; Georgia; Augusta, Georgia; Davenport, Iowa; Iowa City, Iowa; Kentucky; Bellevue, Nebraska; Kearney, Nebraska; Dayton, Ohio; Cleveland, Ohio; Columbus, Ohio; Fort Worth, Texas; Sioux City, Iowa; Boise, Idaho; Owensboro, Kentucky; New Mexico; Ohio; Austin, Texas; Miami, Florida; Atlanta, Georgia; Savannah, Georgia; Caldwell, Idaho; Meridian, Idaho; Lexington-Fayette, Kentucky; Michigan; Ann Arbor, Michigan; Grand Rapids, Michigan; Albuquerque, New Mexico; Roswell, New Mexico; Rochester, New York; Texas; Bellevue, Washington; Mesa, Arizona; Jacksonville, Florida; Idaho; Grand Island, Nebraska; Yonkers, New York; New York, New York; Orem, Utah; Utah; Kenosha, Wisconsin; Florida; Orlando, Florida; Columbus, Georgia; Detroit, Michigan; Lincoln, Nebraska; Santa Fe, New Mexico; Cincinnati, Ohio; San Antonio, Texas; Provo, Utah; Layton, Utah; Seattle, Washington; Phoenix, Arizona; Tucson, Arizona; Iowa; Cedar Rapids, Iowa; Idaho Falls, Idaho; Covington, Kentucky; Warren, Michigan; Omaha, Nebraska; Houston, Texas; Spokane, Washington; Chandler, Arizona; St. Petersburg, Florida; Des Moines, Iowa; Nampa, Idaho; Louisville, Kentucky; Bowling Green, Kentucky; Rio Rancho, New Mexico; Las Cruces, New Mexico; New York; Akron, Ohio; West Valley City, Utah; Salt Lake City, Utah; Tacoma, Washington; Vancouver, Washington; Tampa, Florida; Macon, Georgia; Sterling Heights, Michigan; Nebraska; Buffalo, New York; Syracuse, New York; Dallas, Texas; Washington Job ID 2030843JOB DESCRIPTION
Job Summary
Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements.
KNOWLEDGE/SKILLS/ABILITIES
- Trains staff on configuration functionality, enhancements, and updates.
- Works with internal and external stakeholders to understand business objectives and processes associated with the enterprise.
- Problem solves with Health Plans and Corporate to ensure all end-to-end business requirements have been documented.
- Creates management reporting tools to enhance communication on configurations updates and initiatives.
- Negotiates expected completion dates with Health Plans.
- Must have strong  experience with Benefits and contracts configuration in QNXT
- Must have claims processing experience
- Knowledge is SQL
- Experience is Excel is required
- Experience in Networx is required
JOB QUALIFICATIONS
Required Education
Bachelor's Degree or equivalent combination of education and experience
Required Experience
7-9 years
Preferred Education
Graduate Degree or equivalent experience
Preferred Experience
10+ years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $125,000 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time Posting Date: 03/27/2025ABOUT OUR LOCATION
View Map- AVP, Medicaid Proposal Strategy - Remote Albany New York, Seattle Washington, Everett Washington, New York New York, Orlando Florida, Savannah Georgia, Des Moines Iowa, Detroit Michigan, Sterling Heights Michigan, Syracuse New York, Dallas Texas, Spokane Washington, Florida, Ohio, Iowa City Iowa, Warren Michigan, Albuquerque New Mexico, Roswell New Mexico, Rochester New York, Akron Ohio, Provo Utah, Green Bay Wisconsin, Tucson Arizona, Boise Idaho, Davenport Iowa, Bowling Green Kentucky, Santa Fe New Mexico, Austin Texas, West Valley City Utah, Bellevue Washington, Kenosha Wisconsin, Atlanta Georgia, Texas, Utah, Columbus Georgia, Idaho Falls Idaho, Louisville Kentucky, Grand Island Nebraska, Kearney Nebraska, Las Cruces New Mexico, Buffalo New York, Columbus Ohio, Houston Texas, Tacoma Washington, Milwaukee Wisconsin, Chandler Arizona, Miami Florida, St. Petersburg Florida, Idaho, Macon Georgia, Meridian Idaho, Fort Worth Texas, Mesa Arizona, Iowa, Nampa Idaho, Sioux City Iowa, Grand Rapids Michigan, Ann Arbor Michigan, Bellevue Nebraska, Cleveland Ohio, Dayton Ohio, Phoenix Arizona, Tampa Florida, Georgia, New York, Washington, Cedar Rapids Iowa, Lexington-Fayette Kentucky, Owensboro Kentucky, Covington Kentucky, Cincinnati Ohio, Orem Utah, Madison Wisconsin, Racine Wisconsin, Wisconsin, Scottsdale Arizona, Jacksonville Florida, Augusta Georgia, Kentucky, Michigan, Nebraska, New Mexico, Caldwell Idaho, Omaha Nebraska, Lincoln Nebraska, Rio Rancho New Mexico, Yonkers New York, San Antonio Texas, Salt Lake City Utah, Layton Utah, Vancouver Washington 04/28/2025
- Account Rep, Medicare-Omaha-Nebraska Omaha Nebraska, Nebraska 04/22/2025
- Dir, Sales-Ohio San Antonio Texas, Miami Florida, Kenosha Wisconsin, Nampa Idaho, Dayton Ohio, Spokane Washington, Buffalo New York, Idaho Falls Idaho, Georgia, Utah, Arizona, Tacoma Washington, Texas, Las Cruces New Mexico, Salt Lake City Utah, Warren Michigan, Albuquerque New Mexico, Macon Georgia, Grand Rapids Michigan, Lincoln Nebraska, Rio Rancho New Mexico, Iowa, Bellevue Nebraska, Augusta Georgia, Detroit Michigan, Green Bay Wisconsin, Orem Utah, Mesa Arizona, Kearney Nebraska, Bowling Green Kentucky, Grand Island Nebraska, Bellevue Washington, Owensboro Kentucky, Cedar Rapids Iowa, Washington, Nebraska, Ann Arbor Michigan, Jacksonville Florida, Provo Utah, Layton Utah, Santa Fe New Mexico, St. Petersburg Florida, Meridian Idaho, Des Moines Iowa, Louisville Kentucky, Michigan, Covington Kentucky, Vancouver Washington, Fort Worth Texas, Milwaukee Wisconsin, Chandler Arizona, Syracuse New York, Columbus Ohio, Cleveland Ohio, Cincinnati Ohio, Atlanta Georgia, Savannah Georgia, Madison Wisconsin, Rochester New York, Everett Washington, Boise Idaho, Tampa Florida, Houston Texas, Davenport Iowa, Phoenix Arizona, Orlando Florida, Kentucky, Scottsdale Arizona, Florida, Sterling Heights Michigan, Wisconsin, Tucson Arizona, Yonkers New York, Sioux City Iowa, Roswell New Mexico, New Mexico, Idaho, West Valley City Utah, Dallas Texas, New York, Akron Ohio, Austin Texas, Racine Wisconsin, Lexington-Fayette Kentucky, Albany New York, Caldwell Idaho, Omaha Nebraska, Iowa City Iowa 04/25/2025
- Care Review Clinician, Prior Auth Nurse Albany New York, Everett Washington, Fort Worth Texas, Layton Utah, Florida, Nebraska, Rochester New York, Owensboro Kentucky, Bellevue Nebraska, Davenport Iowa, Cedar Rapids Iowa, Akron Ohio, Atlanta Georgia, Houston Texas, Albuquerque New Mexico, Provo Utah, Salt Lake City Utah, Grand Rapids Michigan, Kentucky, Detroit Michigan, Bellevue Washington, Seattle Washington, Tampa Florida, Miami Florida, Omaha Nebraska, Madison Wisconsin, Idaho Falls Idaho, Chandler Arizona, Tucson Arizona, Scottsdale Arizona, Rio Rancho New Mexico, Texas, Bowling Green Kentucky, Louisville Kentucky, Dayton Ohio, Orem Utah, Ann Arbor Michigan, New York, Warren Michigan, Michigan, Wisconsin, Lexington-Fayette Kentucky, Savannah Georgia, Racine Wisconsin, Meridian Idaho, Phoenix Arizona, Mesa Arizona, Roswell New Mexico, Tacoma Washington, St. Petersburg Florida, Yonkers New York, Des Moines Iowa, Columbus Ohio, Augusta Georgia, Green Bay Wisconsin, Santa Fe New Mexico, Idaho, Vancouver Washington, Orlando Florida, Syracuse New York, Buffalo New York, Covington Kentucky, Grand Island Nebraska, Cincinnati Ohio, Columbus Georgia, Macon Georgia, Nampa Idaho, Austin Texas, Dallas Texas, Sterling Heights Michigan, New Mexico, Kearney Nebraska, Sioux City Iowa, Cleveland Ohio, Kenosha Wisconsin, Milwaukee Wisconsin, Caldwell Idaho, Boise Idaho, San Antonio Texas, Las Cruces New Mexico, West Valley City Utah, Washington, Ohio, Iowa, Utah, Georgia, Spokane Washington, Jacksonville Florida, New York New York, Lincoln Nebraska, Iowa City Iowa 04/15/2025
No recently viewed jobs.
View All JobsNo saved jobs.
View All Jobs