Sr Business Analyst, Provider Claims (Remote)

Lensa; West Valley City (UT); 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 requires collaboration with clients and internal teams, focusing on delivering effective business solutions. Candidates should have a Bachelor's degree and significant experience in business analysis and managed care.

Qualifications

• 5-7 years of business analysis experience.
• 6+ years of managed care experience.
• Proficiency in relevant concepts and practices.

Responsibilities

• Analyze complex business problems using data to provide insights.
• Collaborate with clients to tailor analysis to their needs.
• Participate in all project stages from research to implementation.

Skills

Communication

Analytical Skills

Detail-oriented

Organizational Skills

Time Management

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 existing analysis or 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 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 effectively 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, Requirements Traceability Matrices, User Training materials, and related documentation.
• Participate in all project stages from research to implementation, ensuring the final 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-based reporting.
• 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.

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

Pay Range: $77,969 - $128,519 per year. 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