- Molina Healthcare (Dayton, OH)
- …+ Mentors junior analysts + Participates in or leads project meetings + Understands QNXT , AutoQ, and MCG functionality and schema + Determines if a project is AutoQ, ... to deployment, including work assignment, prioritization, issue triage etc. + Understands QNXT , AutoQ, and MCG functionality and schema + Determines if a project… more
- Molina Healthcare (OH)
- …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 (Columbus, OH)
- …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 (Columbus, OH)
- …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 (Cleveland, OH)
- …special projects as assigned. + Other duties as assigned. Knowledgeable in systems utilized: + QNXT + Pega + Verint + Kronos + Microsoft Teams + Video Conferencing + ... Others as required by line of business or state **Job Function** Provides customer support and stellar service to assist Molina providers with claims inquiries. Leads and resolves issues and addresses needs appropriately and effectively, while demonstrating… more
- Molina Healthcare (Cincinnati, OH)
- …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 (OH)
- …6+ years previous claims adjusting and customer services experience Experience in QNXT , Salesforce, Claims Viewer, Claim Shark, PEGA, Cotiviti, ECHO, CEMs Edifecs ... **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must… more
- Molina Healthcare (Cleveland, OH)
- …and production standards. + Other duties as assigned. + QNXT -preferred **JOB QUALIFICATIONS** **Required Education** Associate 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… more
- Molina Healthcare (Cleveland, OH)
- …quality and production standards. + Other duties as assigned. + QNXT -Preferred **JOB QUALIFICATIONS** **Required Education** HS Diploma or GED **Required ... Experience** 1-3 years **Preferred Education** Associate 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… more
- Molina Healthcare (Akron, OH)
- …verbal communication skills. + Experience with healthcare data and systems, + QNXT experience a plus **Education:** + Bachelor's Degree in Computer Science, ... Information Systems, or a related field - or an equivalent combination of education and experience. 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