JOB DESCRIPTION

Job Summary

Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements.

KNOWLEDGE/SKILLS/ABILITIES

Loads and maintain contract, benefit or reference table information into the claim payment system and other applicable systems.Participates in defect resolution for assigned componentAssists with development of configuration standards and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality.Assists in planning and coordination of application upgrades and releases, including development and execution of some test plans.Participates in the implementation and conversion of new and existing health plans.Analyze and interpret data to determine appropriate configuration changes.Accurately interprets specific state, federal, and business requirements and converting these terms to configuration parametersWrite easy ad-hoc SQL reports.Manage task from requirements to deployment, including work assignment, prioritization, issue triage etcModerate to Complex task with mentoringSimple projects without mentoring

JOB QUALIFICATIONS

Required Education

Bachelor's Degree or equivalent combination of education and experience

Required Experience

5-7 years of applicable experienceMust have strong experience with Benefits configuration in QNXT

Preferred Education

Graduate Degree or equivalent experience

Preferred Experience

7-9 years of applicable experienceSQL knowledge preferred Advanced knowledge of Excel preferredCoding certification preferred 

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.

Pay Range: $77,969 - $141,371 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Type: Full Time Posting Date: 07/22/2025