Lead Analyst, Claims/ Regulatory Compliance/ Medical Coding - Marketplace – Molina Healthcare – Jobs in Covington, KY | OpenJobs AI

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Molina Healthcare

Job Details

Overview Company

Lead Analyst, Claims/ Regulatory Compliance/ Medical Coding - Marketplace

$77.969k/y-$110k/y

Molina Healthcare

3 days ago

Highlight

OnsiteFull-timeMid

Summary

Molina Healthcare is seeking a Lead Analyst, Claims/Regulatory Compliance/Medical Coding - Marketplace to join their team in Covington, KY. The role involves the accurate implementation and maintenance of critical information on claims databases.

About the Role

As a Lead Analyst, you will be responsible for synchronizing data among operational and claims systems, validating data for adherence to business and system requirements, and training staff on configuration functionality. You will work closely with internal and external stakeholders to understand business objectives, create management reporting tools, and negotiate completion dates with Health Plans.

About You

Required:

Bachelor's Degree or equivalent combination of education and experience.
7-9 years of relevant experience.

Preferred:

Graduate Degree or equivalent experience.
10+ years of relevant experience.
Medical coding experience.

Benefits

Competitive benefits and compensation package.

Molina Healthcare

Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care. Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.

Covington, KY