Molina Healthcare · 5 hours ago
Analyst, Configuration Information Management
United States
Full-time
Remote
Entry Level
$49K/yr - $107K/yr
2+ years expMolina Healthcare is a managed care organization, and they are seeking an Analyst for Configuration Information Management. This role involves the timely intake and interpretation of regulatory requirements related to benefit coverage and claims processing, supporting system solutions development and maintenance.
HealthcareHospitalHealth CareMedical
Responsibilities
Develops and maintains requirement documents related to coverage, reimbursement and other applicable claim adjudication areas to ensure alignment to regulatory baseline requirements and any health plan developed requirements
Monitors regulatory sources to ensure all updates to products and payment are in alignment with contractual baselines
Communicates requirement interpretations and changes to health plans and various impacted corporate core functional areas for coverage and payment requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices
Provide support for claim and/or requirement interpretation inconsistencies and inquiries
Self-organized reporting to ensure health plans and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials
Maintains tickets and work tracking tools
Maintains relationships with Health Plans and Corporate teams to ensure all end-to-end business requirements have been documented and interpretation are agreed on and clear for solutioning
Qualification
Required
2 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field
Strong analytical and problem-solving skills
Robust knowledge of Office Product Suite including Word, Excel including pivot tables and VLOOKUP's, Outlook and Teams
Policy/government legislative review knowledge
Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company
Ability to concisely synthesize large and complex requirements
Ability to organize and maintain regulatory data including real-time policy changes
Self-motivated and able to take initiative, identify, communicate, and resolve potential problems
Ability to work independently in a remote environment
Ability to work with those in other time zones than your own
Ability to maintain requirements for multiple States
Preferred
Minimum Bachelor's Degree or equivalent experience; preferred focus of study in public health, public policy related to insurance and managed care or business
Previous success in a dynamic and autonomous work environment
Project implementation experience
Knowledge and experience with federal regulatory policy resources including CMS and the Affordable Care Act
Familiarity with claim administration systems
Familiarity or interest in adoption of AI work tools including Microsoft Copilot
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
H1B Sponsorship
Molina Healthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (56)
2024 (45)
2023 (43)
2022 (31)
2021 (35)
2020 (55)
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
Investor's Business Daily
2026-02-09
legacy.thefly.com
2026-02-07
2026-02-07
Company data provided by crunchbase