Remote Healthcare SQL Analyst - Regulatory & Requirements

Molina Talent Acquisition; Florida; Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Benefits package

Job summary

Molina Healthcare seeks a Regulatory/Business Analyst to interpret coverage, reimbursement and related regulatory requirements. You will coordinate with health plans, product teams and governance committees to ensure alignment with regulatory baselines and plan requirements.

You will monitor updates, lead interpretation reviews, conduct root-cause analyses for state requirements, and communicate changes to stakeholders, ensuring traceability and timely compliance.

Qualifications

• At least 2 years in a managed care organization, health insurance or related field.
• Policy/government legislative review knowledge.
• Strong analytical and problem-solving skills.
• Proficient with Office Product Suite including Word, Excel, Outlook and Teams.
• Experience in a dynamic and autonomous work environment.

Responsibilities

• Develops and maintains requirement documents related to coverage, reimbursement and other system changes.
• Monitors sources to ensure updates are aligned.
• Leads coordinated development and interpretation review processes with partner organizations.
• Conducts analysis to identify root causes related to state requirements.
• Communicates requirement interpretations and changes to health plans and product teams.
• Provides support for requirement interpretation inconsistencies and complaints.
• Self-organized reporting to keep leadership aware of work efforts and impact of changes.
• Engages with operations leadership to review compliance-based issues for benefit planning.

Skills

Analytical skills

Problem-solving

Communication skills

Regulatory interpretation

Time management

SQL basics

Tools

Office Suite

Job description

Molina Healthcare seeks a Regulatory/Business Analyst to interpret coverage, reimbursement and related regulatory requirements. You will coordinate with health plans, product teams and governance committees to ensure alignment with regulatory baselines and plan requirements.

You will monitor updates, lead interpretation reviews, conduct root-cause analyses for state requirements, and communicate changes to stakeholders, ensuring traceability and timely compliance.