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Molina Healthcare Lead Analyst, Config Info Mgmt in Long Beach, California

Job Description

Lead Analyst, Configuration Information Management, Production Support (REMOTE)

Triage and research issues related to claims processing associated with a TCIM Custom AutoQ, MCG, Interest Utility or Encounters solutions

Job Summary

Triage and research issues related to claims processing associated with a TCIM Custom AutoQ, MCG, Interest Utility or Encounters solutions

Knowledge/Skills/Abilities

  • The Production Support analyst is expected to manage the issue through to resolution

  • Detailed understanding of how claims process through our customized AutoQ/MCG / Interest Utility and Encounters solutions

  • Upon deployment of claims processing logic, custom solution or change request, the Production Support Analyst is responsible for monitoring the solution. The analyst relies on production deployment reports and works alongside the Business Analyst (BA) for approximately a week, then continues monitoring the deployment report for the remainder of the warranty period

  • Report issues to BA and project team

  • Review Business Requirement Document (BRD) and other supporting documentation

  • Research claims in QNXT

  • Execute simple SQL queries

  • Communicate with project team, the Health Plan, Claims and requester to resolve issues

  • Updates ‘Something Broken’ tickets in iServe

  • Timely follow up and sometimes escalation is required to move the issue through to completion.

  • Knowledge of claims processing.

Job Qualifications Knowledgeable of claims processing, Molina Claims Gateway (MCG) inbound knowledge, 5010 HIPAA / EDI transactions

Required Education

Bachelor's Degree or equivalent combination of education and experience.

Required Experience

• 5-6 years of healthcare production support experience.

Preferred Education

Graduate Degree or equivalent combination of education and experience.

Preferred Experience

• 7+ years of healthcare production support experience.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

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