Senior Business Analyst (Payment Integrity) - Remote

Molina Healthcare; Spokane (WA); Remote; USD 77,000 - 129,000; Full time

Job summary

A major healthcare provider in Spokane seeks an experienced Business Analyst to analyze complex business problems and collaborate with clients on data-driven insights. This role requires a Bachelor's Degree and extensive experience in business and managed care analysis. The ideal candidate will create customized reports and support process improvements. Competitive compensation and benefits are offered.

Benefits

Competitive benefits and compensation package

Qualifications

• 5-7 years of business analysis experience required.
• 6+ years managed care experience required.
• Proficiency in various business analysis concepts and practices.

Responsibilities

• Analyze complex business problems and provide insights for decision-makers.
• Collaborate with clients to customize reports based on their needs.
• Create specifications for reports and conduct management reviews.

Skills

Business analysis

Requirements elicitation

Client collaboration

Process improvement

Documentation

Education

Bachelor's Degree

Job description

Overview

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

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.

Preferred Education

Bachelor's Degree or equivalent combination of education and experience

Preferred Experience

• 3-5 years of formal training in Project Management

• Experience working with complex, often highly technical teams

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.