Sr Business Analyst, Provider Claims (Remote) Position Available In Chatham, Georgia

SR BUSINESS ANALYST, PROVIDER CLAIMS

(REMOTE)
Molina Healthcare
Savannah, Georgia; Washington; Rochester, New York; Orlando, Florida; Milwaukee, Wisconsin; Akron, Ohio; Layton, Utah; Bowling Green, Kentucky; Phoenix, Arizona; Santa Fe, New Mexico; Syracuse, New York; Sterling Heights, Michigan; Cincinnati, Ohio; Davenport, Iowa; Columbus, Ohio; Scottsdale, Arizona; Orem, Utah; Las Cruces, New Mexico; Buffalo, New York; Tampa, Florida; Spokane, Washington; Boise, Idaho; Nampa, Idaho; Tacoma, Washington; St. Petersburg, Florida; New Mexico; Rio Rancho, New Mexico; Louisville, Kentucky; Yonkers, New York; Provo, Utah; Vancouver, Washington; Ann Arbor, Michigan; Iowa City, Iowa; Everett, Washington; Bellevue, Washington; West Valley City, Utah; Covington, Kentucky; Omaha, Nebraska; Georgia; Iowa; Kearney, Nebraska; Atlanta, Georgia; Miami, Florida; Mesa, Arizona; Austin, Texas; Bellevue, Nebraska; Caldwell, Idaho; Owensboro, Kentucky; Florida; Wisconsin; Columbus, Georgia; Tucson, Arizona; Augusta, Georgia; Macon, Georgia; San Antonio, Texas; Cleveland, Ohio; Albuquerque, New Mexico; Madison, Wisconsin; Lincoln, Nebraska; Green Bay, Wisconsin; Idaho; Michigan; New York; Utah; Kentucky; Des Moines, Iowa; Racine, Wisconsin; Jacksonville, Florida; Dallas, Texas; Warren, Michigan; Sioux City, Iowa; Nebraska; Fort Worth, Texas; Cedar Rapids, Iowa; Grand Island, Nebraska; Houston, Texas; Dayton, Ohio; Salt Lake City, Utah; Chandler, Arizona; Kenosha, Wisconsin; Ohio; Texas; Roswell, New Mexico; Detroit, Michigan; Idaho Falls, Idaho; Grand Rapids, Michigan; Lexington-Fayette, Kentucky; Meridian, Idaho; Albany, New York
Job

ID 2031753

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JOB

DESCRIPTION

Job Summary
Analyzes 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/ABILITIES

Elicit requirements using interviews, document analysis, and requirements workshops, business process descriptions, use cases, business analysis, task and workflow analysis.
Interpret customer business needs and translate them into application and operational requirements
Communicate and collaborate with external and internal customers to analyze and transform needs, goals and transforming in to functional requirements and delivering the appropriate artifacts as needed.
Work with operational leaders within the business to provide recommendations on opportunities for process improvements, medical cost savings or revenue enhancements.
Create Business Requirements Documents, Test Plans, Requirements Traceability Matrix, User Training materials and other related documentations.
Actively participates in all stages of project development including research, design, programming, testing and implementation to ensures the released product meets the intended functional and operational requirements.

JOB QUALIFICATIONS

Required Education:

Bachelor’s Degree or equivalent combination of education and experience

Preferred Education:

Bachelor’s Degree or equivalent combination of education and experience
Required Experience
5-7 years of business analysis experience,
6+ years managed care experience.
Demonstrates proficiency in a variety of concepts, practices, and procedures applicable to job-related subject areas.
Ability to manage escalations independently
Proactive communicator
Detail-oriented and adaptable
Strong organizational and time management skills
Preferred Experience
3-5 years of formal training in Project Management
Experience working with complex, often highly technical teams
Strong claims investigation experience within managed care
Background working with providers and internal ops teams
Familiarity with Salesforce, Facets, and Excel-based reporting
Managed care or claims research experience
Strong analytical and documentation skills
Preferred License, Certification, Association
Certified Business Analysis Professional (CBAP), Certification from International Institute of Business Analysis preferred
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.

Pay Range:

$77,969 – $128,519 / ANNUAL
•Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Type:

Full Time

Posting Date:

05/16/2025