Business Analyst (834 Enrollment) - REMOTE PST

Molina Healthcare; Dayton (OH); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare provider in Ohio is seeking a Business Analyst to analyze complex business problems using data. The role includes preparing documentation, performing UAT, and improving existing business processes. The ideal candidate has a strong background in business analysis, particularly in managed care, and is proficient in Excel and SQL. Competitive compensation is offered based on experience and location.

Benefits

Competitive benefits and compensation package

Equal Opportunity Employer

Qualifications

• 3-5 years of business analysis experience.
• 4+ years of managed care experience.
• Experience in working with 834 files and enrollment data.

Responsibilities

• Analyze complex business problems using data.
• Collaborate with clients to tailor analysis based on needs.
• Prepare documentation and training materials as needed.

Skills

Analytical skills

Problem solving

User Acceptance Testing (UAT)

Data analysis

Process improvement

Education

Associate's Degree or equivalent experience

Bachelor's Degree or equivalent experience (preferred)

Tools

Excel

SQL

Job description

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

• Provides 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 met
• Prepares high level user documentation and training materials as needed.
• Demonstrated proficiency in working with 834 files and enrollment data, including executing User Acceptance Testing (UAT) to validate system functionality and data accuracy.
• Skilled in articulating clear problem statements, conducting root cause analysis, and presenting actionable solutions and implementation plans tailored to diverse audiences, including leadership.

Job Qualifications

Required Education

Associate's Degree or equivalent combination of education and experience

Required Experience

• 3-5 Years of business analysis
• 4+ years managed care experience
• Demonstrates familiarity in a variety of concepts, practices, and procedures applicable to job-related subject areas.

Preferred Education

Bachelor's Degree or equivalent combination of education and experience

Preferred Experience

• 1-3 years formal training in Business Analysis and/or Systems Analysis
• Proficient in advanced Excel functions, including VLOOKUP, and intermediate-level formulas to analyze and manage data effectively.
• Intermediate SQL knowledge to run queries for analysis, UAT validation and report generation.
• Ability to prioritize and manage multiple tasks in a fast-paced environment.

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.

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Pay Range: $77,969 - $116,835 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.