Senior Regulatory Business Analyst (Remote)

Molina Healthcare; United States; Remote; USD 49,430 - 107,098; Full time

Job summary

Molina Healthcare is seeking a Senior Analyst to provide expert support for intake and interpretation of regulatory and functional requirements related to coverage, reimbursement, and processing systems. You will coordinate with stakeholders, SMEs, and governance committees to ensure alignment with regulatory baselines.

The role emphasizes documenting requirements, monitoring regulatory updates, guiding cross-functional teams, and ensuring traceability.

Qualifications

• 4+ years in managed care or health insurance settings.
• Knowledge of policy/government legislative review.
• Strong analytical and problem-solving capabilities.

Responsibilities

• Develop and maintain requirement documents for coverage and reimbursement.
• Monitor regulatory updates and advise on process improvements.
• Lead interpretation reviews and coordinate with partner organizations.
• Communicate requirements and changes to health plans and core teams.
• Codify requirements for system configuration alignment where applicable.
• Support interpretation inconsistencies and complaints.
• Develop solution standards and best practices across states.
• Ensure self-organized reporting for leadership awareness.
• Collaborate with teams on impact and implementation of changes.

Skills

Regulatory knowledge

Analytical skills

Communication skills

Time management

Policy review

Tools

MS Office

Job description

Molina Healthcare is seeking a Senior Analyst to provide expert support for intake and interpretation of regulatory and functional requirements related to coverage, reimbursement, and processing systems. You will coordinate with stakeholders, SMEs, and governance committees to ensure alignment with regulatory baselines.

The role emphasizes documenting requirements, monitoring regulatory updates, guiding cross-functional teams, and ensuring traceability.