Molina Healthcare

posted 19 days ago

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 across operational and claims systems, validating data, and ensuring compliance with business and system requirements. The analyst will also train staff, create management reporting tools, and lead complex configuration processes to enhance operational efficiency.

Responsibilities

  • Train staff on configuration functionality, enhancements, and updates.
  • Work with internal and external stakeholders to understand business objectives and processes.
  • Problem solve with Health Plans and Corporate to document end-to-end business requirements.
  • Create management reporting tools for configuration updates and initiatives.
  • Negotiate expected completion dates with Health Plans.
  • Write complex ad-hoc reports and develop configuration update scripts.
  • Assist manager in establishing standards, guidelines, and best practices for the team.
  • Lead peer reviews and design complex configuration maintenance processes.
  • Research new tools and techniques and provide recommendations to management.
  • Build complex configuration processes and maintain various file load packages.
  • Design and document AutoQ solutions and interpret complex business problems.
  • Architect comprehensive solutions that meet business and technical requirements.
  • Communicate solutions effectively through various means and drive successful implementation.
  • Gain a deep understanding of Molina claims life cycle and processes affecting claims payment.
  • Develop and maintain standards and best practices for the team.
  • Mentor junior analysts and participate in project meetings.
  • Understand QNXT, AutoQ, and MCG functionality and schema, and manage complex projects.

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.
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