[Remote] Claims Analyst, Configuration Information Management

Note: The job is a remote job and is open to candidates in USA. Molina Healthcare is a company focused on healthcare services, and they are seeking a Claims Analyst to ensure accurate implementation and oversight of claims databases. The role involves synchronizing data, validating information, and applying business rules related to the Texas Medicaid Directed Payment Program. Responsibilities • Analyze and interpret data to determine appropriate configuration changes. • Accurately interprets specific state and/or federal benefits, contracts as well as additional business requirements and converting these terms to configuration parameters. • Coordinate/Facilitate coding, updates related to benefit plans, provider contracts, fee schedules and various system tables through the user interface. • Apply previous experience and knowledge to research and resolve claim/encounter issues, pended claims and facilitate system update(s) as necessary. • Works with fluctuating volumes of work and is able to prioritize work to meet deadlines and needs of user community. Skills • 2-5 years • 5-7 years Education Requirements • Associate degree or equivalent combination of education and experience • Bachelor's Degree or equivalent combination of education and experience Benefits • Competitive benefits and compensation package Company Overview • Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals. It was founded in 1980, and is headquartered in Long Beach, California, USA, with a workforce of 10001+ employees. Its website is Apply tot his job