Business Analyst, Workforce Mgt/Claims REMOTE Job at Molina Healthcare
Molina Healthcare is hiring now for a Business Analyst, Workforce Management/Claims . This is a remote position.
This position will be part of the WFM team who runs various reports to ensure that claims are paid timely and accurately, share informative decks to our health plan and senior leadership.
Highly qualified candidates will be someone who loves working with and understands numbers and data. Should have Excel (Pivots, Power BI, Formulas, etc..). SQL knowledge highly desired. Claims Analyst experience also desired.
If you have a passion for data and reporting, along with claims experience in a Managed Care Organization, we would like to speak with you!
This is a base-level analyst role and perfect for someone who is looking to take their career to the next level while growing with a Fortune 500 Company!
KNOWLEDGE/SKILLS/ABILITIES
Provides analytical, problem-solving foundation including: definition and documentation, specifications.
Analyzes complex business problems and issues using data from internal and external sources to provide insight 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 required or available data elements. Collaborates with clients to modify or tailor existing analysis or reports to meet their specific needs. May participate in management reviews, including presenting and interpreting analysis results, summarizing conclusions, and recommending a course of action. This is a general role in which employees work with multiple types of business data. May be internal operations-focused or external client-focused.
Recognizes, identifies and documents changes to existing business processes and identifies new opportunities for process developments and improvements.
Reviews, researches, analyzes and evaluates all data relating to specific area of expertise. Begins process of becoming subject matter expert.
Conducts analysis and uses analytical skills to identify root cause and assist with problem management as it relates to state requirements.
Analyzes business workflow and system needs for conversions and migrations to ensure that encounter, recovery and cost savings regulations are met
Prepares high level user documentation and training materials as needed.
JOB QUALIFICATIONS
Required Education: Associate degree or equivalent combination of education and experience
Required Experience
3-5 Years of business analysis
4+ years managed care experience
Demonstrates familiarity in a variety of concepts, practices, and procedures applicable to job-related subject areas.
Preferred Education: Bachelor's Degree or equivalent combination of education and experience
Preferred Experience
1-3 years formal training in Business Analysis and/or Systems Analysis
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Key Words: Key Words: Analyst, Business Analyst, Data, Data Analyst, BA, DA, Claims, Claims Processing, Sr Business Analyst, Critical Thinking, Organization Skills, Troubleshooting, Analysis, Communication, Presentation, Collaborate, Jira, Agile, Waterfall, Agile Software, Facilitation, Analytical, Accuracy, Accurate, Stakeholder Analysis, Healthcare, Managed Care, MCO, Member, Member Enrollment, Enrollment, Medicaid, Medicare, Marketplace, BRD, 834 Files
Pay Range: $45,390 - $88,511 a year* *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Please Note :
blog.nvalabs.org is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, blog.nvalabs.org provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.
This position will be part of the WFM team who runs various reports to ensure that claims are paid timely and accurately, share informative decks to our health plan and senior leadership.
Highly qualified candidates will be someone who loves working with and understands numbers and data. Should have Excel (Pivots, Power BI, Formulas, etc..). SQL knowledge highly desired. Claims Analyst experience also desired.
If you have a passion for data and reporting, along with claims experience in a Managed Care Organization, we would like to speak with you!
This is a base-level analyst role and perfect for someone who is looking to take their career to the next level while growing with a Fortune 500 Company!
KNOWLEDGE/SKILLS/ABILITIES
Provides analytical, problem-solving foundation including: definition and documentation, specifications.
Analyzes complex business problems and issues using data from internal and external sources to provide insight 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 required or available data elements. Collaborates with clients to modify or tailor existing analysis or reports to meet their specific needs. May participate in management reviews, including presenting and interpreting analysis results, summarizing conclusions, and recommending a course of action. This is a general role in which employees work with multiple types of business data. May be internal operations-focused or external client-focused.
Recognizes, identifies and documents changes to existing business processes and identifies new opportunities for process developments and improvements.
Reviews, researches, analyzes and evaluates all data relating to specific area of expertise. Begins process of becoming subject matter expert.
Conducts analysis and uses analytical skills to identify root cause and assist with problem management as it relates to state requirements.
Analyzes business workflow and system needs for conversions and migrations to ensure that encounter, recovery and cost savings regulations are met
Prepares high level user documentation and training materials as needed.
JOB QUALIFICATIONS
Required Education: Associate degree or equivalent combination of education and experience
Required Experience
3-5 Years of business analysis
4+ years managed care experience
Demonstrates familiarity in a variety of concepts, practices, and procedures applicable to job-related subject areas.
Preferred Education: Bachelor's Degree or equivalent combination of education and experience
Preferred Experience
1-3 years formal training in Business Analysis and/or Systems Analysis
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Key Words: Key Words: Analyst, Business Analyst, Data, Data Analyst, BA, DA, Claims, Claims Processing, Sr Business Analyst, Critical Thinking, Organization Skills, Troubleshooting, Analysis, Communication, Presentation, Collaborate, Jira, Agile, Waterfall, Agile Software, Facilitation, Analytical, Accuracy, Accurate, Stakeholder Analysis, Healthcare, Managed Care, MCO, Member, Member Enrollment, Enrollment, Medicaid, Medicare, Marketplace, BRD, 834 Files
Pay Range: $45,390 - $88,511 a year* *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Please Note :
blog.nvalabs.org is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, blog.nvalabs.org provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.