- Molina Healthcare (Macon, GA)
- …analysis to resolve complex business and technical issues. Ensures system configuration aligns with business rules, regulatory requirements, and operational needs. ... (SME) on QNXT system capabilities, leveraging system knowledge to evaluate configuration options and recommend optimal solutions + Conducts in-depth research and… more
- Molina Healthcare (Macon, GA)
- …Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims ... **KNOWLEDGE/SKILLS/ABILITIES** + Analyze and interpret data to determine appropriate configuration changes. + Accurately interprets specific state and/or federal… more
- Molina Healthcare (Macon, GA)
- …+ Develop and implement quality control procedures and best practices for configuration management . + Monitor performance indicators and trends to proactively ... Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims… more
- Molina Healthcare (Macon, GA)
- …regarding updates/changes to member enrollment, provider contract, provider demographic information , claim processing guidelines and/or system configuration ... Marketplace, Dual coverages/COB. + Knowledge of validating and confirming information related to provider contracting, network management , credentialing,… more
- Molina Healthcare (Macon, GA)
- …Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims ... and other business requirements. **KNOWLEDGE/SKILLS/ABILITIES** + Trains staff on configuration functionality, enhancements, and updates. + Works with internal and… more
- Molina Healthcare (Macon, GA)
- …for quality and financial accuracy and provides documented feedback. + Assists in configuration issues and loading of provider information , as needed. + Assists ... **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider … more
- Molina Healthcare (Macon, GA)
- …system requirements of customers as it pertains to contracting, network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Receives information from ... **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider … more
- Molina Healthcare (Macon, GA)
- …**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...requirements of customers as it pertains to contracting, network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Generates data to support… more