Molina Healthcare · 3 hours ago

Sr Analyst, Business (Remote)

Full-time

Remote

Mid, Senior Level

$68K/yr - $129K/yr

5+ years exp

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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

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

SQLBusiness AnalysisUS Healthcare ProgramsUser Acceptance Testing (UAT)Core Payor SystemsProject ManagementAPIsWeb ServicesRequirements Traceability MatrixTest PlansQuality Assurance (QA)Medical Cost SavingsRevenue EnhancementsEnrollment ProcessesClaims ManagementCare ManagementCertified Business Analysis Professional (CBAP)

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.