[Hiring] Senior Analyst, Business @Molina Healthcare

Role Description

Provides senior-level support for enterprise projects by translating regulatory, functional, and business needs into effective application and operational solutions. Collaborates with business and technical stakeholders to improve processes, manage change, reduce costs, and deliver business value.

• Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes to ensure alignment to regulatory baseline requirements and any health plan/product team developed requirements.
• Monitors regulatory sources to ensure all updates are aligned and provides recommendations for process improvements and opportunities for cost savings.
• Leads coordinated development and ongoing management/interpretation review process, committee structure and timing with key partner organizations.
• Interprets customer business needs and translates them into application and operational requirements.
• Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals.
• Codifies the requirements for system configuration alignment and interpretation where applicable.
• Provides support for requirement interpretation inconsistencies and complaints.
• Assists with the development of requirement solution standards and best practices while suggesting improvement processes to consistently apply requirements across states and products.
• Self-organizes reporting to ensure health plans/product team and leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials.
• Coordinates with relevant teams for analysis, impact and implementation of changes that impact the product.
• Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit planning purposes.

Qualifications

• At least 4 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.
• Familiarity with administration systems.
• Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams.
• Previous success in a dynamic and autonomous work environment.

Requirements

• Project implementation experience (preferred).
• 2+ years of experience in customer-facing web/portal product ownership or development (preferred).
• Reporting and analytics experience (preferred).

Benefits

Molina Healthcare offers a competitive benefits and compensation package.

Company Description

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.