Responsible for gathering, documenting and understanding business requirements including how Custom MCG, AutoQ, Interest Utility and Encounter solutions work from end-end from a business and functional perspective. Responsible for the implementation of customized claims processing solutions.
* Create business, functional and report requirement documents (BRD, FRD, RRD) related to customized claims processes and interpret for the development team. * Facilitate BRD, FRD, and RRD review meetings with end-users, stakeholders, leadership, operations and IT. * Communicate requirements accurately to all types and levels of staff (e.g. operations staff, IT staff, executive management, etc.) * Understand reporting requirements. * Understand and articulate the testing requirements from a business perspective. * Knowledge of each and every component of the solution, the purpose of the component, and how it fits in the overall solution. * Be able to describe the functional requirements of the solution. * Be able to describe the QNXT configuration required and able to educate someone on how to perform the configuration if needed. * QNXT: Know how all of the modules in QNXT that are related to the solution. * Have complete understanding of the logical schema that is created to support the solution. * Understand File Load processes: Be able to describe at a functional level, what the process is "supposed to do."
Bachelor's Degree or equivalent combination of education and experience
Graduate Degree or equivalent 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 competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
About Molina Healthcare
Molina Healthcare is a healthcare organization that delivers health care services and offers health information management solutions.