Job Information
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.