- Molina Healthcare (TX)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... and validating Medicaid secondary payments to ensure alignment with internal configuration rules and regulatory guidance. The ideal candidate will bring deep… more
- Cognizant (Plano, TX)
- …Together, we're improving everyday life. **Job Title: Sr** NetworX Confiq Analyst **Location:** **Remote** **Role and Responsibilities:** . Ability to analyze, ... design and build NetworX system Configuration requirements to maintain provider contracts, Benefits, Fee schedules, Service groups, etc. . Understand and build… more
- CVS Health (Austin, TX)
- …Gathers requirements, business process optimization, fit-gap analysis, functional design, configuration and testing. Creates necessary documentation in each stage. + ... Collaborates with key cross-functional partners to maintain transparency, consistency in delivery, and set expectations. + Actively participates in Workday's semi-annual release process, engaging with release team on cross-functional initiatives and liaising… more
- SitusAMC (Austin, TX)
- …+ Bachelor's degree or equivalent from four-year College or technical school or equivalent combination of education and experience + Minimum of 6+ years of industry ... and/or relevant experience, typically with 1+ years in a Senior Associate level role or external equivalent. + Knowledge of the Warehouse Financing Solutions line of business; including use and support of the ProMerit technology platform, warehouse financing… more
- Koniag Government Services (San Antonio, TX)
- …Data Solutions, LLC,** a Koniag Government Services company, is seeking a Configuration /Change Management Services (Security Analyst II) to support **KDS** and ... Digital Modernization, and Cybersecurity Reference Architecture. + Contributes to Configuration Management, Change Management, and Knowledge Management processes, developing… more
- Molina Healthcare (Dallas, TX)
- …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 (Fort Worth, TX)
- …for this position:** * Analyze and interpret data to determine appropriate configuration . * Comprehensive understanding of contracts reviews to detect any gaps in ... as well as additional business requirements and converting these terms to configuration parameters. *Ability to interpret contract term agreements pertaining to Line… more
- Molina Healthcare (San Antonio, TX)
- …**KNOWLEDGE/SKILLS/ABILITIES** + Analyze and interpret data to determine appropriate configuration changes. + Accurately interprets specific state and/or federal ... well as additional business requirements and converting these terms to configuration parameters. + Handles coding, updating and maintaining benefit plans, provider… more
- Molina Healthcare (Houston, TX)
- …for quality and financial accuracy and provides documented feedback. + Assists in configuration issues and loading of provider information, as needed. + Assists in ... training current staff and new hires as necessary. + Generates and distributes Network Related Compliance/Regulatory/Accreditation reports. + Generates Provider Related reports to facilitate and support Provider Services/Provider Problem Research & Resolution.… more
- Molina Healthcare (Austin, TX)
- …**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 among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system… more
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