Manager, Configuration - Benefits/Regulatory Requirements - Remote

Job reputed company JOB reputed company Job reputed company Manages reputed company of reputed company Configuration Analysts. Responsible for operational activities for the assigned team, including accurate and reputed company implementation and maintenance of critical information on claims databases. Validate data to be housed on databases and ensure adherence to business and system requirements of Health Plans as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements. KNOWLEDGE/SKILLS/ABILITIES

• Meet and exceed reputed company performance metrics and department goals.
• Understand conflicts with teams and reputed company solutions.
• Ensure reputed company team members reputed company with company and legal requirements.
• Ensure tasks are completed with accuracy and efficiency. Sets the right priorities and systematically identifies the reputed company 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 reputed company operating procedures and guidelines for the Configuration team.
• Provides status reports and project updates to management and stakeholders.
• Ensure staff have reputed company the resources they need to reputed company at a high level.
• Conduct performance reviews, training, and corrective reputed company as appropriate.
• Understanding of reputed company payment methodologies
• Understanding of reputed company configuration solutions
• Advanced knowledge of health care benefits.
• Advanced knowledge of reputed company claims and claim processing from receipt through encounter submission.
• Ability to adopt and utilize work tracking software
• Strong business writing skills; proficient user of reputed company Products including Word, reputed company, Outlooks, Teams, SharePoint, PowerPoint, and Visio
• Advanced knowledge of reputed company preferred
• SQL knowledge preferred
• Coding certification preferred
• Knowledge of configuration in QNXT strongly preferred

JOB QUALIFICATIONS Required Education Bachelor's Degree or equivalent combination of education and experience Required Experience 5-7 years Preferred Education Graduate Degree or equivalent combination of education and experience Preferred Experience 7-9 years To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V Apply tot his job Apply To this Job