- Molina Healthcare (OH)
- …areas as needed.. + Ability to write SQL queries + Experience with QNXT configuration + Experience with troubleshooting and analyzing issues. + Experience ... managed care enrollment processes, encounter processes, provider and contract configuration , provider information management, claims processing and other related… more
- Molina Healthcare (Omaha, NE)
- …and conversion of new and existing health plans. + Must have experience in Contracts configuration in QNXT or Networx + Experience in DOFR (division of financial ... in defect resolution for assigned component + Assists with development of configuration standards and best practices while suggesting improvement processes to ensure… more
- LA Care Health Plan (Los Angeles, CA)
- Core Systems Configuration Analyst III Job Category: Administrative, HR, Business Professionals Department: Enterprise Configuration Location: Los Angeles, ... to achieve that purpose. Job Summary The Core Systems Configuration Analyst III is responsible for the...Care Health Plan Core Systems applications, and databases (eg, QNXT Migration Utility, Claims Workflow, Claims Test Pro, NetworX… more
- Sharp HealthCare (San Diego, CA)
- …Do** Under the direction of the Manager of EDI Management, the Systems Analyst -EDI Mgmt will use technical and analytic skills to complete monitoring, reviewing, ... mapping inbound and outbound data files for Sharp Health Plan. The Systems Analyst -EDI Mgmt will work with general Health Plan operational data sets including, but… more
- Molina Healthcare (UT)
- …practices. + Where applicable, codifies the requirements for system configuration alignment and interpretation. + Provides support for requirement interpretation ... requirements and process improvements. + Proficiency in Excel + Knowledge in QNXT preferred + Strong communication and stakeholder management skills with ability to… more
- Commonwealth Care Alliance (Boston, MA)
- …to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, and timely reimbursements ... issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare,… more
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