- Molina Healthcare (Madison, WI)
- …and conversion of new and existing health plans. + Must have experience in Contracts and Benefits configuration in QNXT or Networx + Must have knowledge ... and other business requirements. **KNOWLEDGE/SKILLS/ABILITIES** + Loads and maintain contract , benefit or reference table information into the claim payment… more
- Molina Healthcare (Roswell, NM)
- …and design standards. * Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality. * Recommends, schedules and performs ... implementing application changes. **Preferred Education** Master's Degree **Preferred Experience** QNXT knowledge. SharePoint, MS Project experience. To all current… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr . Analyst plays a critical role in ensuring accurate, compliant, and ... of complex reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr . Analyst serves as a subject matter expert on Medicaid… more