Remote Health Regulatory Requirements Analyst

Molina Healthcare, Inc.; Chicago (IL); Remote; USD 45,000 - 97,000; Full time

Job summary

Molina Healthcare, Inc. is seeking a regulatory intake and requirements analyst to translate complex coverage, reimbursement, and processing needs into clear system specifications.

You will collaborate with health plans, product teams, and governance committees to ensure alignment and timely updates. The role emphasizes coordinating cross-functional efforts, maintaining traceability, and interpreting regulatory changes across multiple states while supporting training and automation initiatives

Qualifications

• At least 2 years of experience in managed care, health insurance or related field.
• Strong analytical and problem-solving skills.
• Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams.
• Previous success in a dynamic and autonomous work environment.

Responsibilities

• Develops and maintains requirement documents related to coverage and reimbursement.
• Monitors sources to ensure all updates are aligned with regulatory requirements.
• Leads coordination with partner organizations and governance committees.
• Conducts analysis to identify root cause and assist with problem management.
• Communicates interpretations and changes to health plans and product teams.

Skills

Analytical skills

Problem solving

Communication skills

Independent work

Tools

Microsoft Word

Microsoft Excel

Outlook

Teams

Job description

Molina Healthcare, Inc. is seeking a regulatory intake and requirements analyst to translate complex coverage, reimbursement, and processing needs into clear system specifications.

You will collaborate with health plans, product teams, and governance committees to ensure alignment and timely updates. The role emphasizes coordinating cross-functional efforts, maintaining traceability, and interpreting regulatory changes across multiple states while supporting training and automation initiatives