Overview
Remote
On Site
Full Time
Skills
Presentations
Business Data
Documentation
Analytical Skill
Problem Management
Workflow
Migration
Recovery
Cost Reduction
User Guides
Medicare
ROOT
Leadership
Health Care
Business Process
Microsoft Excel
VLOOKUP
SQL
Acceptance Testing
Reporting
Management
Training
Business Analysis
Systems Analysis
Project Management
Performance Management
Preventive Maintenance
Process Improvement
Problem Solving
Conflict Resolution
Intranet
Job Details
Job Description
Job Summary
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.
KNOWLEDGE/SKILLS/ABILITIES
JOB QUALIFICATIONS
Required Education
Associate's degree or equivalent combination of education and experience
Required Experience
Preferred Education
Bachelor's Degree or equivalent combination of education and experience
Preferred Experience
Work Hours:
If you are a self-starter with a passion for process improvement and problem-solving, and you thrive in a collaborative and innovative environment, please consider applying.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Job Summary
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.
KNOWLEDGE/SKILLS/ABILITIES
- Provides analytical, problem-solving foundation including definition and documentation, specifications.
- 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.
- Familiar 834, Medicare eligibility data and perform UAT (user acceptance testing).
- Clearly define problem statements, root causes, and recommended solutions, as well as next steps for implementation, tailored to various audiences, including executive leadership.
JOB QUALIFICATIONS
Required Education
Associate's degree or equivalent combination of education and experience
Required Experience
- 3-5 Years of business analysis.
- Minimum of 3 years of experience as a Business Analyst or Healthcare Eligibility Role, with a proven track record of successfully analyzing business processes and driving improvements.
- 2+ years managed care experience
- Proficient in advanced Excel functions, including VLOOKUP, and intermediate-level formulas to analyze and manage data effectively.
- Intermediate SQL knowledge to run queries for analysis, UAT validation and report generation.
- Ability to prioritize and manage multiple tasks in a fast-paced environment.
- 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
Work Hours:
- Flexibility in work hours, with core business hours from 8:00 AM to 5:00 PM. PST
- Depending on business needs, weekend work may be required occasionally.
If you are a self-starter with a passion for process improvement and problem-solving, and you thrive in a collaborative and innovative environment, please consider applying.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.