- Molina Healthcare (NM)
- …for quality and financial accuracy and provides documented feedback. + Assists in configuration issues and loading of provider information, as needed. + Assists ... Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider ...critical provider information on all claims and provider databases. Maintains critical provider information on… more
- Cognizant (Santa Fe, NM)
- **Sr QNXT Config Analyst ** **Job ID:** \#00066084291..., you will make an impact by leading the configuration and optimization of QNXT systems to ... the QNXT system. + Proficiency in creating and maintaining provider contracts, benefits, service groups, fee tables, and policy administration. + Experience… more
- Molina Healthcare (Roswell, NM)
- …DESCRIPTION** **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… more
- Molina Healthcare (Albuquerque, NM)
- …provider demographic information, claim processing guidelines and/or system configuration requirements. Evaluates the accuracy of these updates/changes as applied ... and maintenance of critical information on all claims and provider databases, validate data housed on databases and ensure...to ensure that the contracts are configured correctly in QNXT . The claims are reviewed to ensure that the… more
- Molina Healthcare (Las Cruces, NM)
- …of business rules as they apply to each database. Validate accuracy of configuration and ensure adherence to business and system requirements of customers as it ... Responsible for work load assignment to auditors. Train and coach new employees . Provide clear and concise results and comments to leaders about focal and and… more
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