- Molina Healthcare (St. Petersburg, FL)
- …guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed ... identify trends or discrepancies related to over- or underpayment. + Utilize QNXT to research claims history, provider contract setup, and benefits configuration. +… more
- Molina Healthcare (Orlando, FL)
- …as applied to the appropriate modules within the core processing system ( QNXT ). * Conducts focal audits on samples of processed transactions impacted by ... claims processing system . + Experience using claims processing system ( QNXT ). **PREFERRED EDUCATION:** Bachelor's Degree or equivalent combination of education and… more
- Molina Healthcare (St. Petersburg, FL)
- …automated process and manual input + Ensure quality control of data entered into QNXT and sent to external vendors + Oversees and participates in state, federal, and ... State, Federal, and business regulatory requirements and strong system knowledge of QNXT and other state specific applications concerning Managed Care Enrollment. +… more
- Molina Healthcare (Tampa, FL)
- …years + Preferred Systems Training: + Microsoft Office + Genesys + Salesforce + Pega + QNXT + CRM + Verint + Kronos + Microsoft Teams + Video Conferencing + CVS ... Caremark + Availity 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… more
- Molina Healthcare (FL)
- …application changes. **Preferred Education** Master's Degree **Preferred Experience** + QNXT or QMACS knowledge or Centricity CPS knowledge. + SharePoint, ... MS Project experience. + AI technology 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… more
- Molina Healthcare (Miami, FL)
- …Education** Bachelor's Degree **Preferred Experience** * 7+ years managed care experience * QNXT ; SQL experience * Crystal Reports for data extraction * Access and ... Excel - intermediate plus skill level **Preferred License, Certification, Association** N/A 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… more
- Molina Healthcare (FL)
- …Education** Bachelor's Degree **Preferred Experience** + 5+ years managed care experience + QNXT ; SQL experience + Crystal Reports for data extraction 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.… more
- Molina Healthcare (St. Petersburg, FL)
- …in Medicaid, Medicare, and Marketplace lines of business. + Familiarity with QNXT claims processing platform. + Knowledge of legal procedures related to complex ... or litigated subrogation cases. Pay Range: $77,969 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. more
- Molina Healthcare (Tampa, FL)
- …**Job Summary** Designs, develops, and communicates technology models and foundations used to run applications, data, and infrastructure in support of one or more ... business processes. Applies and promotes key principles (eg stability, scalability, performance, security, compatibility, re-use), helping ensure a balance between tactical and strategic technology solutions. Considers business problems "end-to-end": including… more
- Molina Healthcare (FL)
- …Platform + Salesforce Platform + Sitecore Platform + MuleSoft and Apigee + QNXT (Cognizant/TriZetto) 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: $97,299 - $180,000 / ANNUAL… more