Molina Healthcare

Healthcare Claims Configuration Analyst

Molina Healthcare

Remote
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Molina Healthcare is looking for a highly-skilled and detail-oriented Healthcare Claims Configuration Analyst to join our team. In this role, you will be responsible for configuring and testing all healthcare claims processing systems, as well as conducting system-wide testing, training, and maintenance.To be successful in this position, you should have a deep understanding of the healthcare industry and experience in healthcare claims configuration. Additionally, you should have excellent problem-solving skills, be comfortable working in a fast-paced environment, and have excellent communication skills.If you are excited to help us maintain our claims processing systems and ensure accurate claims execution, we want to hear from you!

Responsibilities:

  1. Configure and test healthcare claims processing systems.
  2. Conduct system-wide testing, training, and maintenance.
  3. Monitor and analyze system performance and address any issues or errors.
  4. Collaborate with other teams to ensure accurate claims execution.
  5. Maintain up-to-date knowledge of the healthcare industry and related technologies.
  6. Troubleshoot complex claims processing issues.
  7. Generate and maintain detailed documentation for all claims processing systems.
  8. Prepare and provide reports and presentations to management.
  9. Respond to customer inquiries and provide assistance.
  10. Develop and implement policies and procedures for claims processing.
Where is this job?
This job opening is listed as 100% remote
Job Qualifications
  • Detail-Oriented

  • Analytical And Problem-Solving Skills

  • Knowledge Of Health Care Insurance Industry

  • Experience Configuring Claims Processing Systems

  • Ability To Troubleshoot And Resolve Claims Processing Issues

  • Expertise In Coding And Software Development

  • Ability To Develop And Document Processes

  • Experience With Health Care Data Analysis And Reporting

Required Skills
  • Networking

  • Troubleshooting

  • Auditing

  • Reporting

  • Documenting

  • Coding

  • Billing

  • Researching

  • organizing

  • Problem-Solving

  • communicating

  • Negotiating

  • Analyzing

  • Configuring

  • Validating

Soft Skills
  • Communication

  • Leadership

  • Problem Solving

  • Time management

  • Interpersonal Skills

  • creativity

  • Critical thinking

  • Organizational skills

  • Teamwork

  • Adaptability

Compensation

According to JobzMall, the average salary range for a Healthcare Claims Configuration Analyst is between $46,000 and $90,000 per year. This salary range is based upon the experience of the individual and the size of the company. Salaries can vary greatly depending upon the organization and the individual's qualifications and experience.

Additional Information
Molina Healthcare is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedNovember 28th, 2023
Apply BeforeMay 22nd, 2025
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About Molina Healthcare

Molina Healthcare is a managed care company headquartered in Long Beach, California, United States. The company provides health insurance to individuals through government programs such as Medicaid and Medicare.

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