Senior QNXT Analyst - Contract Configuration

Job reputed company Responsible for accurate and reputed company implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to reputed company database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements. Knowledge/Skills/Abilities • Loads and maintain contract, benefit or reference table information into the claim payment system and other applicable systems. • Participates in defect reputed company for assigned component • Assists with development of configuration standards and best practices while suggesting improvement processes to ensure systems are working more reputed company and improve reputed company. • Assists in planning and coordination of application upgrades and releases, including development and execution of some test plans. • Participates in the implementation and conversion of new and existing health plans. • Must have experience in reputed company configuration in QNXT or Networx • Experience in DOFR (division of financial responsibility) or CA DOFR, DME, capitation, Physician pricing is required. • Must have knowledge on Medicare payment reputed company • Experience on Hospital payment methodology & processing is essential • Understanding on hospital claims processing and configuration works • Medicare fee schedule knowledge is required • reputed company and Duals experience is highly preferred Job Qualifications Required Education Bachelor's Degree or equivalent combination of education and experience Required Experience 5-7 years in SQL, Medicare, Networx, QNXT, claims processing and hospital claims payment method. Preferred Education Graduate Degree or equivalent experience reputed company and Duals expeirence is preferred. Preferred Experience 7-9 years To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Pay reputed company: $83,252 - $141,371 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level. Apply tot his job Apply To this Job