- Molina Healthcare (Sterling Heights, MI)
- …and other business requirements. **KNOWLEDGE/SKILLS/ABILITIES** + Loads and maintain contract , benefit or reference table information into the claim payment ... new and existing health plans. + Must have experience in Contracts configuration in QNXT or Networx + Experience in DOFR (division of financial responsibility) or CA… more
- Molina Healthcare (Sterling Heights, MI)
- …and other business requirements. **KNOWLEDGE/SKILLS/ABILITIES** + Loads and maintain contract , benefit or reference table information into the claim payment ... scripts + Pre and post validation of fee schedule, contract , and complex retro reports. + Manages all MRDT...submission mailbox, submit RFCs in iServe, and notify the Analyst of completion. + Researches and reviews MRDT issues… more
- Molina Healthcare (Sterling Heights, MI)
- …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