Molina Healthcare · 5 hours ago
Senior Analyst, Configuration Information Management- QNXT (Benefit Configuration)
200 Oceangate, Long Beach, CA, 90802, US
Full-time
Onsite
Mid, Senior Level
3+ years expMolina Healthcare is a company specializing in managed care services. They are seeking a Senior Analyst to provide support for configuration information management activities, ensuring accurate implementation and maintenance of critical information on claims databases and adherence to business requirements.
Health CareHospitalMedical
Responsibilities
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 interface
Applies experience and knowledge to research and resolve claim/encounter issues and pended claims, and updates system(s) as necessary
Loads and maintains contracts, benefit and/or reference table information into the claims payment system and other applicable systems
Participates in defect resolution for assigned component(s)
Participates in the implementation and conversion of new and existing health plans
Assists in planning and coordination of application upgrades and releases, including development and execution of some test plans
Assists with development of configuration standards and best practices, and suggests improvement processes to ensure systems are working efficiently and enhance quality
Serves as a departmental configuration information management subject matter expert
Participates in various department-wide configuration information management projects
Provides training and support to new and existing configuration information management team members
Manages fluctuating volumes of work, and prioritizes work to meet deadlines and needs of the configuration department and user community
Qualification
Required
At least 3 years of configuration information management experience maintaining databases, and/or analyst experience within a health care operations setting in a managed care organization supporting Medicaid, Medicare, and/or Marketplace programs, or equivalent combination of relevant education and experience
Advanced experience using a claims processing system
Must have experience in QNXT configuration specifically Benefits
Advanced experienced verifying documentation related to updates/changes within a claims processing system
Advanced experience validating and confirming information related to provider contracting, network management, credentialing, benefits, prior authorizations, fee schedules, and other business requirements
Analytical and critical-thinking skills
Flexibility to meet changing business requirements, and commitment to high-quality/on-time delivery
High attention to detail
Effective verbal and written communication skills
Microsoft Office suite proficiency, including Excel abilities (VLOOKUP/Pivot Tables, etc.), SQL and applicable software programs proficiency
Preferred
Intermediate to advanced Microsoft Excel skills
Experience in Marketplace is highly preferred
Benefits
Competitive benefits and compensation package
Company
Molina Healthcare
Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$2.35B2025-11-17Post Ipo Debt· $850M
2024-11-13Post Ipo Debt· $750M
2021-11-16Post Ipo Debt· $750M
Leadership Team
Dave Reynolds
Executive Vice President, Health Plans & Medicaid Chief Operating Officer
Debbie Simkins
Vice President, Office of the CIO
Recent News
2026-01-17
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