Molina Healthcare · 6 hours ago
Sr Analyst, Business (Remote)
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Responsibilities
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.
Elicit requirements using interviews, document analysis, and requirements workshops, business process descriptions, use cases, business analysis, task and workflow analysis.
Interpret customer business needs and translate them into application and operational requirements.
Communicate and collaborate with external and internal customers to analyze and transform needs, goals and transforming in to functional requirements and delivering the appropriate artifacts as needed.
Work with operational leaders within the business to provide recommendations on opportunities for process improvements, medical cost savings or revenue enhancements.
Create Business Requirements Documents, Test Plans, Requirements Traceability Matrix, User Training materials and other related documentations.
Actively participates in all stages of project development including research, design, programming, testing and implementation to ensures the released product meets the intended functional and operational requirements.
Proficient in writing and analyzing database queries, including SQL, with hands-on experience.
Knowledgeable in APIs and web services, demonstrating the ability to integrate and utilize these technologies effectively.
Familiar with IT release cycles and production deployment processes, including end-user validation and testing protocols.
Experience with User Acceptance Testing (UAT) and familiarity with quality assurance (QA) processes to ensure product reliability and performance.
Qualification
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Required
Bachelor's Degree or equivalent combination of education and experience
5-7 years of business or experience system analysis experience
Must have worked in US Healthcare government programs such as Medicare, Medicaid, the Affordable Care Act, or similar, with experience in one or more of these programs.
6+ years managed care experience.
Demonstrates proficiency in a variety of concepts, practices, and procedures applicable to job-related subject areas.
Elicit requirements using interviews, document analysis, and requirements workshops, business process descriptions, use cases, business analysis, task and workflow analysis.
Interpret customer business needs and translate them into application and operational requirements.
Communicate and collaborate with external and internal customers to analyze and transform needs, goals and transforming in to functional requirements and delivering the appropriate artifacts as needed.
Work with operational leaders within the business to provide recommendations on opportunities for process improvements, medical cost savings or revenue enhancements.
Create Business Requirements Documents, Test Plans, Requirements Traceability Matrix, User Training materials and other related documentations.
Actively participates in all stages of project development including research, design, programming, testing and implementation to ensures the released product meets the intended functional and operational requirements.
Proficient in writing and analyzing database queries, including SQL, with hands-on experience.
Knowledgeable in APIs and web services, demonstrating the ability to integrate and utilize these technologies effectively.
Familiar with IT release cycles and production deployment processes, including end-user validation and testing protocols.
Experience with User Acceptance Testing (UAT) and familiarity with quality assurance (QA) processes to ensure product reliability and performance.
Preferred
Bachelor's Degree or equivalent combination of education and experience
3-5 years of formal training or experience in Project Management
Experience working with complex, often highly technical teams
Experience in a similar role, with a strong understanding of IT systems and processes.
Familiarity with the Core Payor systems such as QNXT, Facets, Metavance, its various modules and backend datamodel
Strong understanding of the US Healthcare domain and operational processes including but not limited to Enrollment, UM, Claims & Care Management
Certified Business Analysis Professional (CBAP), Certification from International Institute of Business Analysis preferred
Company
Molina Healthcare
Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.
H1B Sponsorship
Molina Healthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (33)
2022 (36)
2021 (33)
2020 (60)
Funding
Current Stage
Public CompanyTotal Funding
$1.5B2024-11-13Post Ipo Debt· $750M
2021-11-16Post Ipo Debt· $750M
2014-09-09Post Ipo Equity· $3.11M
Leadership Team
Recent News
Business Wire
2024-12-17
thefly.com
2024-12-10
2024-12-10
Company data provided by crunchbase