# Director Core Systems Strategies – QNXT/NetworX Remote from[USA](https://jobicy.com/job-region/usa.md)Annual salary Undisclosed Salary information is not provided for this position. Check our [Salary Directory](https://jobicy.com/salaries.md) to estimate the average compensation for similar roles.Department [DevOps & Infrastructure](https://jobicy.com/categories/admin.md) Employment type Full Time, Job posted20 Jun 2026Apply before20 Jul 2026Experience level Director Views / Applies 888 / 181 [About company](https://jobicy.com/company/molina-healthcare.md) [Share](#share) About [Molina Healthcare](https://jobicy.com/company/molina-healthcare.md) Molina Healthcare is a FORTUNE 500, multi-state health care organization. * [Hospital & Health Care](https://jobicy.com/company-category/hospital-health-care.md) * 1980 Actively Hiring Verified job posting This job post has been [manually reviewed](https://jobicy.com/tools/help-center/employee/how-does-jobicy-verify-the-legitimacy-of-remote-job-listings.md) for authenticity and compliance. Tailor Resume Check Job Fit Cover Letter ### Tailor my resume to this job Discover how to best rewrite and optimize your resume for this specific job. You'll receive personalized suggestions and detailed guidance to highlight your key strengths, effectively address the job requirements, and make your application more compelling to recruiters and hiring managers. After analyzing your resume, I can provide several recommendations to better position yourself for this role. Your background in software development shows strong technical skills, particularly in Java and Python development. However, for this Senior Backend Developer position, I notice there could be more emphasis on your experience with microservices architecture and cloud technologies, which are key requirements for this role. I recommend highlighting specific projects where you utilized these technologies and quantifying your achievements to demonstrate impact... Upgrade to Plus ### Am I a good fit for this job? Understand your compatibility with this specific job opportunity. Our detailed analysis will assess your resume against the role's requirements, providing insights into your potential fit, key skill alignments, and areas you might need to develop to be a strong candidate. After assessing your resume against the job requirements, here's a summary of your fit: 1. Overall Match: Moderate Fit (Approx. 65-70%). Your resume shows good alignment with several core responsibilities for the Project Manager role, especially your experience in agile methodologies and stakeholder communication. 2. Key Strengths: Your PMP certification and proven track record in delivering projects on time are strong assets for this position. 3. Potential Gap: The role specifies experience with 'XYZ specific software', which is not explicitly mentioned in your resume. If you have this experience, ensure it's highlighted. 4. Recommendation: Consider adding a quantifiable achievement related to budget management, as this is often a key metric for PM roles... Upgrade to Plus ### Cover Letter Assistant Need help writing a compelling cover letter? Our system can analyze this job and your resume to help you draft personalized paragraphs that highlight your strengths and impress hiring managers. Let me help you draft a strong opening... Dear Hiring Manager, I am writing to express my keen interest in the Senior Marketing Manager position. My background in developing data-driven marketing strategies and leading successful product launches, as detailed in my resume, directly aligns with your need for a candidate capable of enhancing brand visibility and driving market share growth. I am confident I can make a significant contribution to your team... Upgrade to Plus ### AI Summary This Director role leads the configuration team responsible for accurate implementation and maintenance of claims databases, provider contracts, benefits, and fee schedules for managed care programs. The position requires strategic planning, process improvement, and stakeholder collaboration to ensure compliance and operational efficiency. Candidates need at least 8 years of healthcare operations experience and 3 years of leadership experience. The role demands expertise in QNXT/NetworX systems and advanced analytical skills. This is a senior leadership position with significant impact on claims processing and system configuration. ### Role DNA Job Complexity Easy Hard AI Insight The role requires extensive experience (8+ years) in managed care and 3+ years of leadership, plus advanced technical knowledge of QNXT/NetworX and claims processes. The strategic nature and cross-functional collaboration increase complexity. ### Salary Analysis Median Market Rate $150,000US Market $130k – 180k 0 $198k AI Insight The salary is not specified, but based on market data for a Director of Core Systems Strategies in managed care, the median is approximately $150,000. This role typically commands a premium due to the specialized QNXT/NetworX expertise and leadership requirements. The offered salary should be competitive within the $130,000 to $180,000 range. ### Core Skills Required [QNXT](https://jobicy.com/jobs?search_keywords=QNXT.md) [NetworX](https://jobicy.com/jobs?search_keywords=NetworX.md) [Claims Configuration](https://jobicy.com/jobs?search_keywords=Claims+Configuration.md) [Managed Care](https://jobicy.com/jobs?search_keywords=Managed+Care.md) [Medicaid](https://jobicy.com/jobs?search_keywords=Medicaid.md) [Medicare](https://jobicy.com/jobs?search_keywords=Medicare.md) [Process Improvement](https://jobicy.com/jobs?search_keywords=Process+Improvement.md) [Leadership](https://jobicy.com/jobs?search_keywords=Leadership.md) [Stakeholder Management](https://jobicy.com/jobs?search_keywords=Stakeholder+Management.md) [Healthcare Compliance](https://jobicy.com/jobs?search_keywords=Healthcare+Compliance.md) ### Cover Letter Sample I am writing to express my interest in the Director of Core Systems Strategies position. With over 10 years of experience in managed care operations, including 5 years in leadership roles, I have a proven track record of leading configuration teams and optimizing QNXT/NetworX systems. My expertise includes implementing provider contracts, fee schedules, and benefits while ensuring compliance with Medicaid and Medicare regulations. I have successfully driven process improvements that reduced claims processing errors by 20% and improved on-time delivery. My strong analytical skills and ability to troubleshoot complex claim discrepancies align with the requirements of this role. I am eager to bring my strategic vision and operational excellence to your organization. Thank you for considering my application. I look forward to discussing how my experience can contribute to your team's success. Copy ### Sample Interview Questions Describe your experience with QNXT or NetworX systems in configuring claims and benefits.I have over 8 years of hands-on experience with QNXT, where I configured provider contracts, fee schedules, and member benefits. I led a team that managed configuration for multiple health plans, ensuring accuracy and compliance with state and federal regulations. I also implemented automated validation processes to reduce errors.How do you prioritize and manage multiple configuration projects with tight deadlines?I use a structured approach: first, I assess each project's impact and urgency with input from stakeholders. I then allocate resources based on team capacity and skill sets. I set clear milestones and hold regular check-ins to track progress. For example, during a recent system upgrade, I coordinated parallel workstreams and ensured on-time delivery by adjusting priorities as needed.Can you provide an example of a process improvement you implemented in configuration operations?In my previous role, I identified that manual fee schedule updates were causing delays. I led the implementation of an automated fee schedule import tool, which reduced update time by 40% and eliminated errors. This also freed up the team to focus on more complex configuration tasks.How do you ensure your team stays compliant with changing regulations?I establish a compliance framework that includes regular training sessions, a central repository for regulatory updates, and periodic audits. I also assign a compliance lead to monitor changes from CMS and state agencies. For instance, when new Medicaid rules were introduced, I organized workshops to update our configuration processes accordingly.Describe a time you had to manage a conflict between configuration requirements and business needs.Once, a business stakeholder wanted to expedite a contract change that conflicted with our system's validation rules. I facilitated a meeting with the stakeholder and IT to explain the risk of errors. We agreed on a phased approach: first, a manual override with additional checks, then a system update to accommodate the change. This balanced business needs with data integrity. JOB DESCRIPTION Job Summary Leads and directs team responsible for configuration activities including accurate and timely implementation and maintenance of critical information on claims databases, validation of data stored on databases, and adherence to health plan business and system requirements as it pertains to contracting, benefits, prior authorizations, fee schedules and other business requirements. Essential Job Duties • Directs configuration team, and demonstrates accountability for team performance – including meeting or exceeding established performance targets; targets may be based upon specific health plan requirements, and/or federal/state requirements. • Strategically plans, leads, and manages configuration workflow processes. • Continuously identifies and executes opportunities for operational efficiencies and develops best practice approaches for assigned operational areas, ensuring achievement of organizational/department goals. • Ensures appropriate resources are available to achieve department goals – escalates resource needs, rationale, and deficiencies to leadership. • Identifies and implements strategic process improvements related to the configuration function that demonstrate return on investment (ROI). • Establishes and maintains benefits, provider contracts, fee schedules, claims edits, and other system settings in the claim payment system. • Directs the development and implementation of contract, benefit configuration, and fee schedules. • Directs the implementation and maintenance of member benefits in the claims payment system and other applicable systems. • Supports critical business strategies by providing systematic solutions and or recommendations on business processes. • Plans for long-term success of the department and individual health plans – focusing on goals and improvements to daily operations. • Builds and maintains strong trusted relationships with key stakeholders including health plan leadership and other cross-functional departments; presents data and opportunities to stakeholders and collaborates on performance improvement initiatives. • Coordinates activities of assigned work function and/or department related activities ensuring efficiency and prioritization. • Utilizes superior judgement in evaluating various approaches to limit risk, and communicates risk accordingly to appropriate stakeholders. • Ensures appropriate follow-up and communication occurs on direct assignments, and activities and tasks that fall within the scope of configuration. • Ensures team compliance with applicable federal/state regulations and internal policies/procedures. • Hires, trains, develops and manages team; demonstrates accountability for team performance and achievement of configuration/department-specific goals. Required Qualifications • At least 8 years of configuration oversight, claims, auditing, and/or health care operations experience in a managed care organization supporting Medicaid, Medicare, and/or Marketplace programs, or equivalent combination of relevant education and experience. • At least 3 years of management/leadership experience. • Advanced understanding of claims processes. • Advanced ability to identify and troubleshoot claim discrepancies by utilizing benefit and provider contracts, regulatory requirements and various claims related resources. • Strong analytical, critical-thinking, and problem-solving skills. • Strong multitasking ability, and decision-making skills. • Flexibility to meet changing business requirements, and strong commitment to high-quality/on-time delivery. • Ability to work cross-collaboratively in a highly matrixed organization. • High attention to detail. • Excellent verbal and written communication skills. • Microsoft Office suite proficiency, including advanced Excel abilities (VLOOKUP/Pivot Tables, etc.), and applicable software programs proficiency. Preferred Qualifications • Certified Professional Coder (CPC). • Extensive experience leading analysis and operational teams in a managed care setting. • Extensive experience collaborating with various levels of leadership in a highly matrixed organization. • Deep claims system processing, configuration, and queries experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Show more [Apply now >](https://jobicy.com/jobs/144247-director-core-systems-strategies-qnxt-networx.md) > Annual salary information is not provided for this position. Explore salary ranges for similar roles in our [Salary Directory ›](https://jobicy.com/salaries.md) * ![Upload CV](data:image/svg+xml;base64,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) ### Upload your resume now To unlock remote work opportunities and be discovered by global employers. This job listing has been manually reviewed by the Jobicy Trust & Safety Team for compliance with our posting guidelines, including verification of the company's legitimacy, accuracy of job details, clarity of remote work policy, and absence of misleading or fraudulent content. ## How to apply ## See a few more Similar DevOps & Infrastructure remote jobs * ![Experian logo](https://jobicy.com/data/server-nyc0409/galaxy/mercury/2021/09/dcc5b29a570bb19b9f5c3e150db2fdfe.jpg) Experian [DevOps Senior Engineer](https://jobicy.com/jobs/148202-devops-senior-engineer.md) Company DescriptionExperian is a global data and technology company, powering opportunities for people and businesses around the world. We help to redefine lending practices, uncover and prevent fraud, simplify healthcare,… ![Costa Rica flag](https://cloud.jobicy.com/nyc4-cold/img/round-flags/cr.svg) CR•Full TimeNEW* ![NBCUniversal logo](https://jobicy.com/data/server-nyc0409/galaxy/mercury/2025/06/836510d4-221-2.jpg) NBCUniversal [Principal DevOps Engineer](https://jobicy.com/jobs/148200-principal-devops-engineer-2.md) Company DescriptionNBCUniversal is one of the world’s leading media and entertainment companies. We create world-class content, which we distribute across our portfolio of film, television, and streaming, and bring to… ![USA flag](https://cloud.jobicy.com/nyc4-cold/img/round-flags/us.svg) US•Full TimeUSD 180k-230k/year* ![Zartis logo](https://jobicy.com/data/server-nyc0409/galaxy/mercury/2026/06/9bd0869f-221.webp) Zartis [Senior DevOps Engineer](https://jobicy.com/jobs/148116-senior-devops-engineer.md) Senior DevOps EngineerThe company and our mission: Zartis is a global AI transformation and technology consulting partner where talented engineers and technologists work on cutting edge innovation. We partner with ambitious… ![EMEA flag](https://cloud.jobicy.com/nyc4-cold/img/round-flags/emea.svg) ![LATAM flag](https://cloud.jobicy.com/nyc4-cold/img/round-flags/latam.svg) EMEA, LATAM•Full TimeJun 30* ![Remote logo](https://jobicy.com/data/server-nyc0409/galaxy/mercury/2025/06/63a88d3a-221-1.png) Remote [Senior Site Reliability Engineer](https://jobicy.com/jobs/148108-senior-site-reliability-engineer.md) About Remote Remote is solving modern organizations’ biggest challenge – navigating global employment compliantly with ease. We make it possible for businesses of all sizes to recruit, pay, and manage… ![EMEA flag](https://cloud.jobicy.com/nyc4-cold/img/round-flags/emea.svg) EMEA•Full TimeUSD 53,300-119,850/year* ![Stripe logo](https://jobicy.com/data/server-nyc0409/galaxy/mercury/2020/10/WRILS-201011073943-272457.png) Stripe [Technical Program Manager, Infrastructure](https://jobicy.com/jobs/145014-technical-program-manager-infrastructure.md) Who we areAbout StripeStripe is a financial infrastructure platform for businesses. Millions of companies—from the world’s largest enterprises to the most ambitious startups—use Stripe to accept payments, grow their revenue,… ![USA flag](https://cloud.jobicy.com/nyc4-cold/img/round-flags/us.svg) US•Full TimeUSD 128,200-192,400/year* ![Aviatrix logo](https://jobicy.com/data/server-nyc0409/galaxy/mercury/2025/06/c783b38c-221.jpeg) Aviatrix [MTS Site Reliability Engineer](https://jobicy.com/jobs/141982-mts-site-reliability-engineer.md) WHO WE ARE: For enterprises struggling to secure cloud workloads, Aviatrix® offers a single solution for pervasive cloud security. Where current cybersecurity approaches focus on securing entry points to a… ![USA flag](https://cloud.jobicy.com/nyc4-cold/img/round-flags/us.svg) US•Full TimeUSD 111,600-131,300/year* ![Akamai Technologies logo](https://jobicy.com/data/server-nyc0409/galaxy/mercury/2025/06/85a7cc0e-221-1.jpeg) Akamai Technologies [Senior Site Reliability Engineer](https://jobicy.com/jobs/143565-senior-site-reliability-engineer-3.md) Are you passionate about cutting edge technology?Do solving some of the Internet’s most difficult content delivery challenges interest you?Join our highly skilled Site Reliability teamOur team designs, develops, and manages… ![Poland flag](https://cloud.jobicy.com/nyc4-cold/img/round-flags/pl.svg) PL•Full TimeJun 27* ![GLS Germany GmbH & Co. OHG logo](https://jobicy.com/data/server-nyc0409/galaxy/mercury/2025/06/e577d043-221.jpeg) GLS Germany GmbH & Co. OHG [(Senior) Information Security Architect (f/m/d)](https://jobicy.com/jobs/142385-senior-information-security-architect-f-m-d.md) (Senior) Information Security Architect (f/m/d) Germany Full time Unlimited Immediately The GLS Group CISO Team is responsible for information security worldwide. In your role you will report to the Manager Security… ![Germany flag](https://cloud.jobicy.com/nyc4-cold/img/round-flags/de.svg) DE•Full TimeJun 25* ![Defense Unicorns logo](https://jobicy.com/data/server-nyc0409/galaxy/mercury/2025/06/44a44784-221-1.png) Defense Unicorns [Platform Engineer](https://jobicy.com/jobs/143041-platform-engineer.md) EMPLOYER IS A CONTRACTOR FOR THE U.S. GOVERNMENT. THIS POSITION WILL REQUIRE AN ACTIVE SECRET CLEARANCE TO APPLY. Role DescriptionWe are seeking a talented and experienced Platform Engineer to join our… ![USA flag](https://cloud.jobicy.com/nyc4-cold/img/round-flags/us.svg) US•Full TimeUSD 123,250-166,750/year* ![ManTech logo](https://jobicy.com/data/server-nyc0409/galaxy/mercury/2025/06/265c7fe8-221-1.png) ManTech [Site Reliability Engineer](https://jobicy.com/jobs/143894-site-reliability-engineer-2.md) General information Requisition # R67618 Locations USA-Remote Work Posting Date 05/14/2026 Security Clearance Required Secret Remote Type Fully Remote Time Type Full time Description & Requirements Shape the future of… ![USA flag](https://cloud.jobicy.com/nyc4-cold/img/round-flags/us.svg) US•Full TimeUSD 137,100-244,100/year [More Jobs](https://jobicy.com/jobs.md)