- Molina Healthcare (Green Bay, WI)
- …for quality and financial accuracy and provides documented feedback. + Assists in configuration issues and loading of provider information, as needed. + Assists ... Services/ Provider Problem Research & Resolution. + QNXT + SQL -Advanced + Python **JOB QUALIFICATIONS** **Required Education** Associate degree or equivalent… more
- Molina Healthcare (Green Bay, WI)
- …DESCRIPTION** **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains ... critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they… more
- Molina Healthcare (Green Bay, WI)
- …**Required Experience** + Deep understanding of QNXT and/or NetworX Pricer configuration modules (Benefits, Provider Contracts, Pricing, Claims Adjudication). ... framework, and collaborate cross-functionally to drive continuous improvement in configuration practices and outcomes **KNOWLEDGE/SKILLS/ABILITIES** + Lead audits of… more