Sr Business Analyst, Provider Claims (Remote)

Mainstreetwashington; Cedar Rapids (IA); Remote; USD 77,000 - 129,000; Full time

Job summary

A leading company in Cedar Rapids is seeking a Business Analyst to analyze complex business problems and provide insights. This role requires collaboration with clients, creating reports, and managing business data. Candidates should have a Bachelor's degree and significant experience in business analysis and managed care.

Benefits

Competitive benefits

Qualifications

• 5-7 years of business analysis experience.
• 6+ years of managed care experience.

Responsibilities

• Analyze complex business problems using data.
• Collaborate with clients to tailor analysis.
• Create specifications for reports based on business needs.

Skills

Communication

Attention to Detail

Organizational Skills

Time Management

Proactive Communication

Education

Bachelor's Degree

Tools

Salesforce

Excel

Job description

JOB DESCRIPTION

Job Summary

Analyzes complex business problems and issues using data from internal and external sources to provide insights 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 available data. Collaborates with clients to modify or tailor existing analysis or reports to meet specific needs. May participate in management reviews, including presenting and interpreting analysis results, summarizing conclusions, and recommending actions. This role involves working with various types of business data, either internal operations-focused or external client-focused.

KNOWLEDGE/SKILLS/ABILITIES

• Gather requirements through interviews, document analysis, workshops, business process descriptions, use cases, and workflow analysis.
• Interpret customer business needs and translate them into application and operational requirements.
• Communicate and collaborate with internal and external customers to analyze needs, goals, and translate them into functional requirements, delivering necessary artifacts.
• Work with operational leaders to recommend process improvements, cost savings, or revenue enhancements.
• Create Business Requirements Documents, Test Plans, Requirements Traceability Matrices, User Training materials, and related documentation.
• Participate in all project stages including research, design, development, testing, and implementation to ensure the product meets requirements.

JOB QUALIFICATIONS

Required Education: Bachelor's Degree or equivalent experience

Preferred Education: Bachelor's Degree or equivalent experience

Required Experience:

• 5-7 years of business analysis experience
• 6+ years of managed care experience
• Proficiency in relevant concepts, practices, and procedures
• Ability to manage escalations independently
• Proactive communication skills
• Attention to detail and adaptability
• Strong organizational and time management skills

Preferred Experience

• 3-5 years of formal project management training
• Experience with complex, technical teams
• Claims investigation experience within managed care
• Experience working with providers and internal operations teams
• Familiarity with Salesforce, Facets, and Excel reporting
• Managed care or claims research experience
• Strong analytical and documentation skills

Preferred Certifications

CBAP or similar from the International Institute of Business Analysis preferred.

Interested Molina employees should apply via the intranet.

Molina Healthcare offers competitive benefits. We are an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $77,969 - $128,519 / year

*Actual salary may vary based on location, experience, education, and skills.