Configuration Analyst - QNXT (Benefits & Contracts)
Molina Healthcare Orlando, Florida; Jacksonville, Florida; Albuquerque, New Mexico; Rio Rancho, New Mexico; Cincinnati, Ohio; Columbus, Ohio; San Antonio, Texas; Texas; Fort Worth, Texas; Salt Lake City, Utah; Davenport, Iowa; Idaho; Scottsdale, Arizona; Chandler, Arizona; Phoenix, Arizona; Tucson, Arizona; Tampa, Florida; Grand Island, Nebraska; New Mexico; Rochester, New York; Akron, Ohio; Orem, Utah; Spokane, Washington; Layton, Utah; Utah; Kenosha, Wisconsin; Madison, Wisconsin; Iowa; Cedar Rapids, Iowa; Nampa, Idaho; Idaho Falls, Idaho; Meridian, Idaho; Bellevue, Nebraska; New York; Syracuse, New York; Dallas, Texas; Austin, Texas; Provo, Utah; Bellevue, Washington; Wisconsin; Milwaukee, Wisconsin; Georgia; Des Moines, Iowa; Iowa City, Iowa; Warren, Michigan; Michigan; St. Petersburg, Florida; Roswell, New Mexico; New York, New York; Vancouver, Washington; Tacoma, Washington; Boise, Idaho; Grand Rapids, Michigan; Nebraska; Omaha, Nebraska; Kearney, Nebraska; Las Cruces, New Mexico; Yonkers, New York; Ohio; Racine, Wisconsin; Columbus, Georgia; Augusta, Georgia; Sioux City, Iowa; Owensboro, Kentucky; Bowling Green, Kentucky; Miami, Florida; Buffalo, New York; Cleveland, Ohio; Houston, Texas; West Valley City, Utah; Washington; Macon, Georgia; Atlanta, Georgia; Caldwell, Idaho; Covington, Kentucky; Mesa, Arizona; Lexington-Fayette, Kentucky; Detroit, Michigan; Florida; Savannah, Georgia; Santa Fe, New Mexico; Dayton, Ohio; Green Bay, Wisconsin; Kentucky; Louisville, Kentucky; Ann Arbor, Michigan; Sterling Heights, Michigan; Lincoln, Nebraska Job ID 2030538JOB 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
- Analyze and interpret data to determine appropriate configuration changes.
- Accurately interprets specific state and/or federal benefits, contracts as well as additional business requirements and converting these terms to configuration parameters.
- Handles coding, updating and maintaining benefit plans, provider contracts, fee schedules and various system tables through the user interface.
- Apply previous experience and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary.
- Works with fluctuating volumes of work and is able to prioritize work to meet deadlines and needs of user community.
- 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
Associate degree or equivalent combination of education and experience
Required Experience
2-5 years
Preferred Education
Bachelor's Degree or equivalent combination of education and experience
Preferred Experience
5-7 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 - $128,519 / 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: 03/11/2025ABOUT OUR LOCATION
View Map- Rep, Customer Experience (Remote in NM - PST Shifts) New Mexico 03/31/2025
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