Lead Analyst, Tech Config Info Mgmt - QA/Automation/SQL - Remote

$66,560 - $142,549/Yr

Molina Healthcare

Full-time

Remote

Insurance Carriers and Related Activities

About the position

The Lead Analyst in Tech Configuration Information Management is responsible for the accurate implementation and maintenance of critical information on claims databases. This role involves synchronizing data among operational and claims systems, validating data, and ensuring adherence to business and system requirements. The analyst will also train staff, problem-solve with stakeholders, create management reporting tools, and lead complex configuration processes and solutions.

Responsibilities

• Responsible for accurate and timely implementation and maintenance of critical information on claims databases.
• Synchronizes data among operational and claims systems and applies business rules as they pertain to each database.
• Validates data to be housed on databases and ensures adherence to business and system requirements.
• Trains staff on configuration functionality, enhancements, and updates.
• Works with internal and external stakeholders to understand business objectives and processes.
• 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 configuration updates and initiatives.
• Negotiates expected completion dates with Health Plans.
• Writes complex ad-hoc reports and creates complex MRDT and other configuration update scripts.
• Assists manager in establishing standards, guidelines, and best practices for the team.
• Designs and develops templates for complex reports and automated configuration processes/solutions.
• Leads peer reviews and the design and development of large, complex, critical configuration maintenance processes/solutions.
• Researches and reviews new tools and techniques and provides recommendations to management.
• Builds complex configuration processes/solutions and maintains MRDT, fee schedule, premium, AutoQ, and other file load packages.
• Designs/documents AutoQ solutions (FRD, Schema, etc.) and interprets complex business problems and technical issues.
• Architects and designs comprehensive solutions that meet business and technical requirements.
• Effectively communicates solutions through review meetings, written specifications, workflow diagrams, and/or proof of concept demonstrations.
• Helps drive solution to successful implementation by directing technical and business resources during all phases of the software development life cycle.
• Gains a deep understanding of Molina claims life cycle and all processes that affect claims payment.
• Develops and maintains standards and best practices for the team and mentors junior analysts.
• Participates in or leads project meetings and understands QNXT, AutoQ, and MCG functionality and schema.
• Manages complex projects from requirements to deployment, including work assignment, prioritization, issue triage, etc.
• Researches complex issues and sets up complicated proof of concept tests without needing mentoring.

Requirements

• Bachelor's Degree or equivalent combination of education and experience.
• 5-6 years of relevant experience.

Nice-to-haves

• Graduate Degree or equivalent experience.
• 7+ years of relevant experience.

Benefits

• Competitive benefits and compensation package.