Sr Business Analyst, Provider Claims (Remote)

Lensa; Chandler (AZ); Remote; USD 77,000 - 129,000; Full time

Job summary

A leading company in IT services is seeking a Sr Business Analyst to analyze complex business problems and provide insights to decision-makers. The role involves collaborating with stakeholders, creating documentation, and recommending process improvements. Candidates should have a Bachelor's degree and substantial experience in business analysis and managed care.

Qualifications

• 5-7 years of business analysis experience.
• 6+ years managed care experience.
• Certified Business Analysis Professional (CBAP) preferred.

Responsibilities

• Analyze complex business problems using data from various sources.
• Create Business Requirements Documents and Test Plans.
• Collaborate with stakeholders to improve processes.

Skills

Proactive communication

Detail-oriented

Organizational skills

Education

Bachelor's Degree or equivalent experience

Tools

Salesforce

Facets

Excel reporting

Job description

Sr Business Analyst, Provider Claims (Remote)

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Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking professionals. Apply via Lensa today!

Job Description

This role involves analyzing complex business problems using data from internal and external sources to provide insights to decision-makers. The analyst will identify trends, construct forecasts, and develop strategic and tactical plans based on business data and market knowledge. Responsibilities include creating report specifications, collaborating with clients to tailor analyses, and participating in management reviews to present findings and recommend actions. The role may focus on internal operations or external client data.

Knowledge/Skills/Abilities

• Gather requirements through interviews, document analysis, workshops, and workflow analysis.
• Translate customer needs into application and operational requirements.
• Collaborate with internal and external stakeholders to analyze, transform needs into functional requirements, and deliver artifacts.
• Work with operational leaders to recommend process improvements, cost savings, or revenue enhancements.
• Create Business Requirements Documents, Test Plans, Traceability Matrices, and training materials.
• Participate in all project stages to ensure the final product meets functional and operational needs.

Job Qualifications

Required Education:

Bachelor's Degree or equivalent experience.

Required Experience:

• 5-7 years of business analysis experience.
• 6+ years managed care experience.
• Proficiency in relevant concepts, practices, and procedures.
• Ability to manage escalations independently.
• Proactive communication skills.
• Detail-oriented, adaptable, with strong organizational skills.

Preferred Experience:

• 3-5 years formal project management training.
• Experience with complex technical teams.
• Claims investigation within managed care.
• Experience working with providers and operations teams.
• Familiarity with Salesforce, Facets, Excel reporting.
• Analytical and documentation skills.

Preferred Certifications:

Certified Business Analysis Professional (CBAP) or similar from the International Institute of Business Analysis.

To apply, current Molina employees should use the intranet. Molina Healthcare offers competitive benefits. EOE M/F/D/V.

Pay Range: $77,969 - $128,519 annually. Compensation varies based on location, experience, education, and skills.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Research, Analysis, IT
• Industries: IT Services and Consulting