Senior Analyst, Configuration Information Management- QNXT (Benefit Configuration)
M
Molina Healthcare
📍 United States, KY, United States
Job Description
JOB DESCRIPTION Job Summary
Provides senior level analyst support for configuration information management activities. Responsible for accurate and timely implementation and maintenance of critical information on claims databases, synchronizing operational and claims systems data and application of business rules as they apply to each database, validating data to be housed on databases, and ensuing adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements.
**Essential Job Duties**
+ Analyzes and interprets data to determine appropriate configuration changes.
+ Accurately interprets specific state and/or federal benefits, in addition to other business requirements, and converts terms to configuration parameters.
+ Manages coding, updating and maintaining benefit plans, provider contracts, fee schedules and various system tables in the user inte...
Provides senior level analyst support for configuration information management activities. Responsible for accurate and timely implementation and maintenance of critical information on claims databases, synchronizing operational and claims systems data and application of business rules as they apply to each database, validating data to be housed on databases, and ensuing adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements.
**Essential Job Duties**
+ Analyzes and interprets data to determine appropriate configuration changes.
+ Accurately interprets specific state and/or federal benefits, in addition to other business requirements, and converts terms to configuration parameters.
+ Manages coding, updating and maintaining benefit plans, provider contracts, fee schedules and various system tables in the user inte...