Business Systems Analyst

 In

Website PM/BA

Reference Code: 6773

Position Title: Business Systems Analyst 
Duration: 6 months contract with possible extension
Location: REMOTE
PR: $28/hr W2 with benefits

Our client, a trusted health insurance plan provider, is looking to hire an Business Systems Analyst who will be responsible for ensuring providers joining the Molina network meet state and Federal requirements for Molina to do business.
– Position is fully remote, but prefers candidates located in EST time zone.
– Schedule requirements are M-F, 8am – 5pm EST with 30-minute lunch.
– Required Experience: 0-2 years' experience in MS Office Suite, QNXT experience (Preferred). Proven experience and knowledge of health care claims administrative environment.
– Required Education: High School Graduate. College Education preferred.
– Candidates MUST be an independent worker, self-starter, good communicator, able to work remote.

Daily responsibilities will include but not limited to: The PNA team reviews applications and rosters to ensure the required information, documentation, and certifications have been provided and are active before moving forward with submitting to Credentialing and PDM for loading into QNXT, which then ensures providers are able to have claims adjudicated and added to the Provider Online Directory (POD) for members to find the care they need. PNA also works with Network to ensure contracts are signed by the Senior Leadership Team (SLT) as applicable, ensures members are informed if their established providers are leaving the Network, reviews any complaints or issues from members and providers that stem from provider data, and ensure members are notified if their established provider leaves the Molina Network.

For more information on the Business Systems Analyst , please call our Recruiter directly at (847)610-9013. To submit your application, click on the 'Apply for Job' link below or send your resume directly to Joseph.Abeto@bluestonestaffing.com.

 

blueStone Staffing recruits top talent for some of the most desired companies on a contract, contract-to-hire and direct hire basis. We take pride in presenting our candidates with great opportunities they may not have exposure to elsewhere. By working with blueStone, you'll have access to rewarding job opportunities, competitive compensation, and industry leading benefits packages. We look forward to helping you land your next career opportunity and achieving your goals!

 

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