Sr Business Analyst, Provider Claims (Remote)

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

Job summary

A leading career site is seeking a Sr Business Analyst for Molina Healthcare. This remote role involves analyzing complex business problems, providing insights to decision-makers, and collaborating with clients to meet their specific 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 managed care experience.
• Proficiency in relevant concepts, practices, and procedures.

Responsibilities

• Analyzes complex business problems using data from various sources.
• Constructs forecasts and strategic plans based on business data.
• Collaborates with clients to tailor reports to their needs.

Skills

Communication

Organizational Skills

Detail-oriented

Time Management

Proactive Communication

Education

Bachelor's Degree

Tools

Salesforce

Facets

Excel

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

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 analysis results, summarizing conclusions, and recommending actions. This role involves working with various types of business data, either internal or external-focused.

Knowledge/Skills/Abilities

• Elicit requirements through 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 Matrix, User Training materials, and related 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 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 formal project management training
• Experience with complex, technical teams
• Claims investigation experience in managed care
• Experience working with providers and internal operations
• Familiarity with Salesforce, Facets, Excel reporting
• Claims research and analytical 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. We are an Equal Opportunity Employer. Pay Range: $77,969 - $128,519 annually.