Be an early applicantLess than 25 applicantsPosted by Agency

Company

Molina Healthcare · 19 hours ago

Mgr, Configuration - Medicare/QNXT/NetworX - Remote

Arizona, United States

Full-time

Remote

Mid, Senior Level

$72K/yr - $157K/yr

5+ years exp

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Responsibilities

Meet and exceed all performance metrics and department goals.

Understand conflicts with teams and provide solutions.

Ensure all team members comply with company and legal requirements.

Ensure tasks are completed with accuracy and efficiency. Sets the right priorities and systematically identifies the root cause of challenges.

Works with the business and project development teams to assess and recommend the appropriate configuration design, solutions, and methodology for new and existing business.

Develops standard operating procedures and guidelines for the Configuration team.

Provides status reports and project updates to management and stakeholders.

Ensure staff have all the resources they need to perform at a high level.

Conduct performance reviews, training, and corrective action as appropriate.

Understanding of complex payment methodologies

Understanding of complex configuration solutions

Advanced knowledge of health care benefits.

Advanced knowledge of healthcare claims and claim processing from receipt through encounter submission.

Ability to adopt and utilize work tracking software

Strong business writing skills; proficient user of Microsoft Products including Word, Excel, Outlooks, Teams, SharePoint, PowerPoint, and Visio

Advanced knowledge of Excel preferred

SQL knowledge preferred

Coding certification preferred

Knowledge of configuration in QNXT strongly preferred

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Configuration ManagementHealthcare Benefits KnowledgeHealthcare Claims ProcessingSQLMicrosoft ProductsCoding CertificationQNXT ConfigurationWork Tracking SoftwareBusiness Writing SkillsAdvanced Excel

Required

Bachelor's Degree or equivalent combination of education and experience

5-7 years

Preferred

Graduate Degree or equivalent combination of education and experience

7-9 years

Advanced knowledge of Excel

SQL knowledge

Coding certification

Knowledge of configuration in QNXT strongly preferred

Company

Molina Healthcare

Glassdoor

3.4

Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.

Founded in 1980

Long Beach, California, USA

10,001+ employees

https://careers.molinahealthcare.com

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

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Trends of Total Sponsorships

2023 (33)

2022 (36)

2021 (33)

2020 (60)