Senior Analyst, Configuration Information Management - ...

JOB DESCRIPTION Job Summary Provides senior level analyst support for configuration information management activities. Responsible for accurate and timely implementation and maintenance of critical information on claims databases, synchronizing operational and claims systems data and application of business rules as they apply to each database, validating data to be housed on databases, and ensuing adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements. Essential Job Duties u2022 Analyzes and interprets data to determine appropriate configuration changes. u2022 Accurately interprets specific state and/or federal benefits, in addition to other business requirements, and converts terms to configuration parameters. u2022 Manages coding, updating and maintaining benefit plans, provider contracts, fee schedules and various system tables in the user interface. u2022 Applies experience and knowledge to research and resolve claim/encounter issues and pended claims, and updates system(s) as necessary. u2022 Loads and maintains contracts, benefit and/or reference table information into the claims payment system and other applicable systems. u2022 Participates in defect resolution for assigned component(s). u2022 Participates in the implementation and conversion of new and existing health plans. u2022 Assists in planning and coordination of application upgrades and releases, including development and execution of some test plans. u2022 Assists with development of configuration standards and best practices, and suggests improvement processes to ensure systems are working efficiently and enhance quality. u2022 Serves as a departmental configuration information management subject matter expert. u2022 Participates in various department-wide configuration information management projects. u2022 Provides training and support to new and existing configuration information management team members. u2022 Manages fluctuating volumes of work, and prioritizes work to meet deadlines and needs of the configuration department and user community. Required Qualifications u2022 At least 3 years of configuration information management experience maintaining databases, and/or analyst experience within a health care operations setting in a managed care organization supporting Medicaid, Medicare, and/or Marketplace programs, or equivalent combination of relevant education and experience. u2022 Advanced experience using a claims processing system. u2022 Advanced experienced verifying documentation related to updates/changes within a claims processing system. u2022 Advanced experience validating and confirming information related to provider contracting, network management, credentialing, benefits, prior authorizations, fee schedules, and other business requirements. u2022 Analytical and critical-thinking skills. u2022 Flexibility to meet changing business requirements, and commitment to high-quality/on-time delivery u2022 High attention to detail. u2022 Effective verbal and written communication skills. u2022 Microsoft Office suite proficiency, including Excel abilities (VLOOKUP/Pivot Tables, etc.), and applicable software programs proficiency. Preferred Qualifications u2022 Intermediate to advanced Microsoft Excel skills. #PJCore To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $60,415 - $117,809 / ANNUAL Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Created: 2026-01-01