Sr Business Analyst, Provider Claims (Remote)

Mainstreetwashington; Iowa (LA); Remote; USD 77,000 - 129,000; Full time

Job summary

A leading company is seeking a Business Analyst to analyze complex business problems and provide insights using data. The role involves collaborating with stakeholders, creating documentation, and participating in project stages to ensure product alignment with business needs. Candidates should have a Bachelor's degree and extensive 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 reports.

Skills

Communication

Analytical

Detail-oriented

Organizational

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 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 internally focused on operations or externally on client projects.

KNOWLEDGE/SKILLS/ABILITIES

• Elicit 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 stakeholders 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, Traceability Matrices, User Training materials, and other documentation.
• Participate in all project stages—research, design, programming, testing, and implementation—to ensure the product meets functional and operational requirements.

JOB QUALIFICATIONS

Required 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 experience.
• Strong analytical and documentation skills.

Preferred Certifications: CBAP or equivalent from the International Institute of Business Analysis.

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

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