Sr Business Analyst, Provider Claims (Remote)

Molina Healthcare; Long Beach (CA); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare management company is seeking a Business Analyst to analyze complex business problems and provide insights for decision-making. The role involves collaborating with clients, creating documentation, and recommending process improvements. This position offers a competitive salary, benefits, and opportunities for career advancement in a collaborative environment.

Benefits

Competitive salary

Benefits package

Career advancement opportunities

Collaborative environment

Qualifications

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

Responsibilities

• Analyze complex business problems using data for insights.
• Collaborate with clients to tailor analyses and reports.
• Create Business Requirements Documents.

Skills

Organizational Skills

Time Management

Communication

Education

Bachelor's Degree

Tools

Salesforce

Facets

Excel

Job description

Employer Industry: Healthcare Management

Why consider this job opportunity:
- Competitive salary and benefits package
- Opportunity for career advancement and growth within the organization
- Engage in meaningful work that impacts healthcare delivery and efficiency
- Collaborative environment with a focus on process improvement
- Chance to work with diverse teams and complex data sets

What to Expect (Job Responsibilities):
- Analyze complex business problems using data from various sources to provide insights for decision-makers
- Collaborate with clients to tailor existing analyses and reports to meet specific needs
- Create Business Requirements Documents and other related documentation
- Participate in all stages of project development, ensuring products meet functional and operational requirements
- Provide recommendations for process improvements and revenue enhancements

What is Required (Qualifications):
- Bachelor's Degree or equivalent combination of education and experience
- 5-7 years of business analysis experience
- 6+ years of managed care experience
- Strong organizational and time management skills
- Ability to manage escalations independently and communicate proactively

How to Stand Out (Preferred Qualifications):
- 3-5 years of formal training in Project Management
- Experience working with complex, highly technical teams
- Strong claims investigation experience within managed care
- Familiarity with Salesforce, Facets, and Excel-based reporting
- Certification as a Certified Business Analysis Professional (CBAP) or equivalent

#HealthcareManagement #BusinessAnalysis #CareerOpportunity #ProcessImprovement #DataAnalysis

We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.