*Role: QNXT Analyst* *Location: Long Beach, CA*
*Duration: 6-12 months* *Urgent Requirement – Interview ASAP* *General Information* *Job Description Summary:* Responsible for the daily configuration maintenance within the Configuration Information Management (CIM) Operations Team. Under general supervision, responsible for interpreting specific State and/or Federal Benefits, Contracts as well as additional business requirements and converting these terms to configuration parameters. Also responsible for coding, updating and maintaining benefit plans, provider contracts, fee schedules and various system tables through the user interface. *Essential Functions: * · Receive information from Health Plan or Corporate for update of information in computer system(s). · Analyze data by applying knowledge and experience to ensure appropriate information has been provided. · Apply previous experience and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. · Analyze and interpret data to determine appropriate configuration changes. · Unit test simple configuration changes. · Maintain thorough and concise documentation for tracking of all provider, contract, benefit or reference table configuration change request forms (CCRF) for quality audit purposes. · Monitor claims queues to identify issues, makes recommendations, and implements configuration changes to improve claims TAT and accuracy. · Support Claims staff with simple to moderate claims issues. · Collaborate with team members to share experience and knowledge. · Demonstrate consistent multitasking skills and planning for prioritizing workload with a focus on deadlines in multiple health plans. *Knowledge/Skills/Abilities:* · Intermediate level of knowledge in Microsoft applications. · Intermediate level of knowledge in medical terminology, ICD-9, CPT and HCPC. · Ability to work independently as well as within a team. · Analytical and problem solving skills. · Deductive and inductive thinking. · Attention to detail and accuracy. · Ability to meet department standards of turnaround time and quality. · Multi-tasking skills and planning for prioritizing workload. · Strong verbal and written communication skills. · Ability to articulate simple to moderate configuration solutions. · Ability to abide by Molina’s policies. · Ability to maintain attendance to support required quality and quantity of work. · Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). · Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers *Required Education:* High School diploma or equivalent GED -- *Regards* *Allan Smith* *a...@pullskill.com <a...@pullskill.com>* *201-497-1010 Ext-107* -- Are you =EXP(E:RT) or =NOT(EXP(E:RT)) in Excel? And do you wanna be? It’s =TIME(2,DO:IT,N:OW) ! Join official Facebook page of this forum @ https://www.facebook.com/discussexcel FORUM RULES 1) Use concise, accurate thread titles. Poor thread titles, like Please Help, Urgent, Need Help, Formula Problem, Code Problem, and Need Advice will not get quick attention or may not be answered. 2) Don't post a question in the thread of another member. 3) Don't post questions regarding breaking or bypassing any security measure. 4) Acknowledge the responses you receive, good or bad. 5) Jobs posting is not allowed. 6) Sharing copyrighted material and their links is not allowed. NOTE : Don't ever post confidential data in a workbook. Forum owners and members are not responsible for any loss. --- You received this message because you are subscribed to the Google Groups "MS EXCEL AND VBA MACROS" group. To unsubscribe from this group and stop receiving emails from it, send an email to excel-macros+unsubscr...@googlegroups.com. To post to this group, send email to excel-macros@googlegroups.com. Visit this group at https://groups.google.com/group/excel-macros. For more options, visit https://groups.google.com/d/optout.
