Sr. Analyst, Business (Payment Integrity) - REMOTE

$54,922 - $107,099/Yr

Molina Healthcare

Full-time

Remote

Insurance Carriers and Related Activities

About the position

The Sr. Analyst, Business (Payment Integrity) role at Molina Healthcare involves analyzing complex business problems using data from various sources to provide insights for decision-making. The analyst will identify trends, construct forecasts, and create strategic plans based on business data. This position requires collaboration with clients to tailor analyses and reports to meet specific needs, as well as participation in management reviews to present findings and recommendations. The role is focused on improving processes and performance within the Payment Integrity department and involves creating and updating business and report requirements documents, conducting testing, and collaborating with various stakeholders.

Responsibilities

• Analyze complex business problems and issues using data from internal and external sources.
• Identify and interpret trends and patterns in datasets to provide insights.
• Construct forecasts, recommendations, and strategic plans based on business data.
• Create specifications for reports and analysis based on business needs.
• Collaborate with clients to modify or tailor existing analysis or reports.
• Participate in management reviews, presenting and interpreting analysis results.
• Analyze data and process flows to identify trends and make recommendations for improvement.
• Create and update Business Requirements Documents (BRDs) and Report Requirements Documents (RRDs).
• Conduct System and User Testing (QA and UAT) and perform data fixes.
• Collaborate with various departments to tailor analysis and reports to meet business needs.

Requirements

• Bachelor's Degree or equivalent combination of education and experience.
• 5-7 years of business analysis experience.
• 6+ years of managed care experience.
• Proficiency in business analysis concepts, practices, and procedures.
• Ability to document and analyze requirements and create/update BRDs.
• Low-intermediate SQL skills and ability to execute SQL queries.

Nice-to-haves

• 3-5 years of formal training in Project Management.
• Experience working with complex, highly technical teams.
• Experience with JIRA and Power BI.
• Certification as a Certified Business Analysis Professional (CBAP) preferred.

Benefits

• Competitive benefits and compensation package.