Sr Business Analyst, Provider Claims (Remote)

Lensa; Fort Worth (TX); Remote; USD 77,000 - 129,000; Full time

Job summary

Lensa is seeking a Senior Business Analyst for Molina Healthcare to analyze complex business problems and provide insights to decision-makers. The role requires strong analytical skills, 5-7 years of experience in business analysis, and proficiency in Salesforce and Excel. This full-time position offers competitive benefits and a salary range of $77,969 to $128,519 annually.

Qualifications

• 5-7 years of business analysis experience required.
• 6+ years of managed care experience preferred.
• CBAP or similar certification preferred.

Responsibilities

• Analyzes complex business problems and provides insights.
• Creates Business Requirements Documents and Test Plans.
• Collaborates with clients to tailor reports.

Skills

Business analysis

Proactive communication

Detail-oriented

Organizational skills

Time management

Analytical skills

Education

Bachelor's Degree

Tools

Salesforce

Facets

Excel

Job description

Sr Business Analyst, Provider Claims (Remote)

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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 reports to meet their specific needs. May participate in management reviews, 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

• Elicit requirements via interviews, document analysis, workshops, business process descriptions, use cases, and workflow analysis.
• Interpret customer 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, programming, testing, and implementation, ensuring the final 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.
• Detail-oriented and adaptable.
• 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 background.
• Strong analytical and documentation skills.

Preferred License, Certification, and Association: CBAP or similar certification preferred.

To current Molina employees: Apply through the intranet.

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

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

Additional Details

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