Senior Business Analyst (Remote) – Regulatory & Health Plans

Molina Healthcare, Inc.; Oregon; Hybrid; USD 90,000 - 120,000; Full time

Job summary

Molina Healthcare is seeking a senior-level Business Analyst to translate regulatory, clinical and business needs into effective applications and processes. You will collaborate with health plans, product teams and operations to deliver value while controlling costs.

You will lead requirements development, ensure regulatory alignment, and communicate interpretations across stakeholders, helping implement changes across states and products with strong attention to detail and traceability.

Qualifications

• 4+ years in managed care, health insurance, or related field.
• Policy/government legislative review knowledge.
• Strong analytical and problem-solving skills.
• Familiarity with administration systems.
• Office Suite (Word, Excel, Outlook, Teams) proficiency.
• Experience in dynamic, autonomous work environments.

Responsibilities

• Develops and maintains requirement documents for coverage, reimbursement, and system changes aligned to regulatory baselines.
• Monitors regulatory sources to align updates and advise cost-saving opportunities.
• Leads development and interpretation review process with partner organizations.
• Communicates interpretations to health plans and corporate areas for alignment.
• Codifies requirements for system configuration alignment.
• Supports interpretation inconsistencies and complaints.
• Assists with standards for requirement solutions and improvements.
• Self-organized reporting to keep leadership informed of changes.
• Coordinates teams for analysis and implementation of changes impacting the product.
• Engages with operations leadership to review compliance-based issues for benefit planning.

Skills

Regulatory knowledge

Analytical skills

Communication skills

Remote work ability

Independent work

Education

Bachelor's degree or equivalent

Tools

Office Suite

Job description

Molina Healthcare is seeking a senior-level Business Analyst to translate regulatory, clinical and business needs into effective applications and processes. You will collaborate with health plans, product teams and operations to deliver value while controlling costs.

You will lead requirements development, ensure regulatory alignment, and communicate interpretations across stakeholders, helping implement changes across states and products with strong attention to detail and traceability.