JOB DESCRIPTION
Job Summary
Must have Claims Medical Exp
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.
JOB QUALIFICATIONS
Required Education
Associate's Degree or equivalent combination of education and experience
Required Experience
3-5 Years of business analysis
4+ years managed care experience
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
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $19.64 - $42.55 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
