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Business Analyst, Vendor Relations, MSP, Remote jobs in United States
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Molina Healthcare · 21 hours ago

Business Analyst, Vendor Relations, MSP, Remote

Molina Healthcare is a healthcare organization seeking a Business Analyst for Vendor Relations. The role involves managing regulatory requirements and coordinating with stakeholders to support system solutions development and maintenance.
Health CareHospitalMedical
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H1B Sponsor Likelynote

Responsibilities

Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline requirements and any health plan developed requirements
Monitors sources to ensure all updates are aligned
Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key partner organizations
Conducts analysis to identify root cause and assist with problem management as it relates to state requirements
Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices
Provides support for requirement interpretation inconsistencies and complaints
Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials
Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit planning purposes

Qualification

Managed care experiencePolicy review knowledgeAnalytical skillsVendor Management System (VMS)Reporting & Dashboard experienceInterpersonal skillsCommunication skillsProblem-solving skillsSelf-motivatedOrganizational skills

Required

At least 2 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience
Policy/government legislative review knowledge
Strong analytical and problem-solving skills
Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams
Previous success in a dynamic and autonomous work environment

Preferred

Previous MSP experience (contingent workforce management and operational support)
Experience with Vendor Management System (VMS), Beeline
Experience with Statement of Work (SOW) & Vendor contracting
Strategic sourcing experience
Experience with Vendor performance management
Reporting & Dashboard experience (i.e., proficient in Excel & Power BI, experience developing and building Vendor performance scorecards, cost savings reporting)

Benefits

Competitive benefits and compensation package

Company

Molina Healthcare

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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
2025 (56)
2024 (45)
2023 (43)
2022 (31)
2021 (35)
2020 (55)

Funding

Current Stage
Public Company
Total Funding
$2.35B
2025-11-17Post Ipo Debt· $850M
2024-11-13Post Ipo Debt· $750M
2021-11-16Post Ipo Debt· $750M

Leadership Team

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Dave Reynolds
Executive Vice President, Health Plans & Medicaid Chief Operating Officer
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Debbie Simkins
Vice President, Office of the CIO
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Company data provided by crunchbase