Senior Analyst, Configuration Information Management - QNXT SME

JOB 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

• Loads and maintain contract, benefit or reference table information into the claim payment system and other applicable systems.
• Participates in defect resolution for assigned component
• Assists with development of configuration standards and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality.
• Assists in planning and coordination of application upgrades and releases, including development and execution of some test plans.
• Participates in the implementation and conversion of new and existing health plans.
• Analyze and interpret data to determine appropriate configuration changes.
• Accurately interprets specific state, federal, and business requirements and converting these terms to configuration parameters
• Write easy ad-hoc SQL reports.
• Manage task from requirements to deployment, including work assignment, prioritization, issue triage etc
• Moderate to Complex task with mentoring
• Simple projects without mentoring
  
  
   

JOB QUALIFICATIONS

Required Education

• Bachelor's Degree or equivalent combination of education and experience

Required Experience

• 5-7 years of applicable experience
• Must have strong experience with Benefits configuration in QNXT

Preferred Education

• Graduate Degree or equivalent experience

Preferred Experience

• 7-9 years of applicable experience
• SQL knowledge preferred 
• Advanced knowledge of Excel preferred
• Coding certification preferred 
   

 

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.