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

$87,722 - $171,058/Yr

Molina Healthcare

Full-time

Remote

Insurance Carriers and Related Activities

About the position

The position is responsible for the accurate and timely 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 related to contracting, benefits, prior authorizations, fee schedules, and other business needs. The individual will also train staff, problem-solve with stakeholders, and lead complex configuration maintenance processes.

Responsibilities

• Implement and maintain critical information on claims databases.
• Synchronize data among operational and claims systems.
• Validate data to ensure adherence to business and system requirements.
• 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 communication on configuration updates.
• Negotiate expected completion dates with Health Plans.
• Write complex ad-hoc reports and develop templates for automated processes.
• Assist manager in establishing standards, guidelines, and best practices for the team.
• Lead peer reviews and design complex configuration maintenance processes.
• Research and review new tools and techniques, providing recommendations to management.
• Maintain MRDT, fee schedule, premium, AutoQ, and other file load packages.
• Architect and design comprehensive solutions that meet business and technical requirements.
• Mentor junior analysts and participate in project meetings.

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.