Claims Business Analyst - QNXT - CA Remote Job at Molina Healthcare, Long Beach, CA

M25XTVNsTVc0bTNnbDNhbkxtNHpuUFNDOEE9PQ==
  • Molina Healthcare
  • Long Beach, CA

Job Description

**JOB DESCRIPTION** **Job Summary** _Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production, and communicates results to a broad range of audiences. Effectively uses current and emerging technologies._ **_KNOWLEDGE/SKILLS/ABILITIES_** + Extracts and compiles various sources of information and large data sets from various systems to identify and analyze outliers. + Sets up process for monitoring, tracking, and trending department data. + Prepares any state mandated reports and analysis. + Works with internal, external and enterprise clients as needed to research, develop, and document new standard reports or processes. + Implements and uses the analytics software and systems to support the departments goals. + Must have member movement or PCP reassignment or Enrollment and Provider termination experience. + Must have intermediate level MS Excel experience, + Familiarity with Enrollment and Managed Healthcare experience is required. + Must be able to research and analyze data using SQL is required. + Experience with QNXT is preferred. + Medicare/ medicaid membership exp required Required soft skill include but are not limited to : + Excellent communication + Possess a team player attitude + Ability to work in a diverse environment. + Must be flexible and willing to learn new skills. **JOB QUALIFICATIONS** **Required Education** Associate's Degree or equivalent combination of education and experience **Required Experience** 1-3 years **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** 3-5 years To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $68,640 - $111,967 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Tags

Work experience placement, Remote job, Flexible hours,

Similar Jobs

ExecRecruitment

Technical Writer Job at ExecRecruitment

 ...Our main objective is to source top talent and support professional growth. One of our direct clients is actively seeking aTechnical Writer to join their team.This person will be responsible for creating and designing technical documents such as manuals, reports,... 

Q6Cyber

Mandarin/Chinese Speaking Targeting Analyst Job at Q6Cyber

 ...hiring a highly motivated and detail oriented senior targeting analyst that is a fluent/native Mandarin speaker. The candidate will seek...  ...more.About the Company: Q6 Cyber is the leading E-Crime Intelligence company. We monitor the Digital... 

State of Florida

CRIMINAL JUSTICE INFORMATION ANALYST II - 71002299 Job at State of Florida

 ...CRIMINAL JUSTICE INFORMATION ANALYST II CRIMINAL JUSTICE INFORMATION SERVICES CRIME INFORMATION BUREAU/SEAL & EXPUNGE **Open-Competitive Opportunity** POSITION SUMMARY: This position is in the Crime Information Bureau, reporting to the Seal & Expunge section... 

MRG Exams

Audiologist - Fort Wayne IN Job at MRG Exams

 ...Are you a Licensed Audiologist looking to take on an assessment role? Would you find it rewarding to serve the Veteran community? We are looking for an Audiologist to perform medical assessments on United States Veterans as part of the VA's disability benefits process... 

Hampton Inn & Suites Jamestown

Breakfast Attendant Job at Hampton Inn & Suites Jamestown

 ...Hampton by Hilton in Jamestown (North Dakota) is looking for a part-time WEEKEND Breakfast Attendant to work 5am - 1pm! Full Job Description: Like to travel? Would you like generous hotel discounts all over the world? We are seeking an energetic and outgoing Breakfast...