Business Analyst (Claims Required) - REMOTE - Molina Healthcare : Job Details

Business Analyst (Claims Required) - REMOTE

Molina Healthcare

Job Location : Bellevue,NE, USA

Posted on : 2025-01-20T13:33:05Z

Job Description :

JOB DESCRIPTIONJob SummaryAnalyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. Collaborates with clients to modify or tailor existing analysis or reports to meet their specific needs. May participate in management reviews, including presenting and interpreting analysis results, summarizing conclusions, and recommending a course of action. This is a general role in which employees work with multiple types of business data. May be internal operations-focused or external client-focused.KNOWLEDGE/SKILLS/ABILITIESProvides analytical, problem solving foundation including: definition and documentation, specifications.Recognizes, identifies and documents changes to existing business processes and identifies new opportunities for process developments and improvements.Reviews, researches, analyzes and evaluates all data relating to specific area of expertise. Begins process of becoming subject matter expert.Conducts analysis and uses analytical skills to identify root cause and assist with problem management as it relates to state requirements.Analyzes business workflow and system needs for conversions and migrations to ensure that encounter, recovery and cost savings regulations are metPrepares high level user documentation and training materials as needed.JOB QUALIFICATIONSRequired EducationAssociate's Degree or equivalent combination of education and experienceRequired Experience3-5 Years of business analysis4+ years managed care experienceDemonstrates familiarity in a variety of concepts, practices, and procedures applicable to job-related subject areas.Preferred EducationBachelor's Degree or equivalent combination of education and experiencePreferred Experience1-3 years formal training in Business Analysis and/or Systems AnalysisTo 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.Pay Range: $21.82 - $51.06 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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