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ATTENTION JOB SEEKERS AND MOLINA APPLICANTS: FRAUD ALERT

Be aware that third parties posing as Molina Healthcare may be soliciting money from job seekers and extending offers to candidates who have not interviewed. Molina does not engage in these type of practices. If you have received an offer and have not been engaging with Molina Healthcare in an interview process, reach out to erc@molinahealthcare.com to validate the legitimacy of your offer. Please note that Molina has reported this activity to the appropriate law enforcement agencies for further investigation. If you feel you’ve been victimized, please report it to local law enforcement.

Analyst, Business Quality - QA Audit/QNXT/Power BI/SQL - Remote

Molina Healthcare Arizona; Rochester, New York; Salt Lake City, Utah; Orem, Utah; Spokane, Washington; Kenosha, Wisconsin; Mesa, Arizona; Chandler, Arizona; Cedar Rapids, Iowa; Kentucky; Kearney, Nebraska; Rio Rancho, New Mexico; Buffalo, New York; Fort Worth, Texas; Provo, Utah; Madison, Wisconsin; Green Bay, Wisconsin; Tucson, Arizona; Jacksonville, Florida; Atlanta, Georgia; Columbus, Georgia; Lincoln, Nebraska; Florida; Michigan; Ohio; Columbus, Ohio; Idaho Falls, Idaho; Detroit, Michigan; Sterling Heights, Michigan; Omaha, Nebraska; Idaho; Nebraska; Texas; Utah; Seattle, Washington; Santa Fe, New Mexico; New York, New York; Houston, Texas; Dallas, Texas; Vancouver, Washington; Bellevue, Washington; Orlando, Florida; Sioux City, Iowa; Owensboro, Kentucky; Grand Island, Nebraska; Syracuse, New York; West Valley City, Utah; Austin, Texas; Tampa, Florida; St. Petersburg, Florida; Augusta, Georgia; Boise, Idaho; Bellevue, Nebraska; Albuquerque, New Mexico; Dayton, Ohio; Cleveland, Ohio; Cincinnati, Ohio; San Antonio, Texas; Tacoma, Washington; Milwaukee, Wisconsin; Miami, Florida; Nampa, Idaho; Davenport, Iowa; Bowling Green, Kentucky; Covington, Kentucky; Georgia; New Mexico; New York; Akron, Ohio; Layton, Utah; Phoenix, Arizona; Savannah, Georgia; Meridian, Idaho; Des Moines, Iowa; Iowa City, Iowa; Louisville, Kentucky; Grand Rapids, Michigan; Warren, Michigan; Ann Arbor, Michigan; Wisconsin; Las Cruces, New Mexico; Roswell, New Mexico; Yonkers, New York; Racine, Wisconsin; Scottsdale, Arizona; Caldwell, Idaho; Macon, Georgia; Lexington-Fayette, Kentucky; Iowa; Washington Job ID 2029627
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Job Description


Job Summary

Assist business teams with developing requirements for major projects of considerable complexity, prepares system design specifications, conducts research to resolve customer-initiated issues related to core systems processing, and coordinates and manages project teams in the development of large multi-system, multi-platform projects. This position is responsible for performing quality audits on iServe fulfilled tickets processed by the PCM Maintenance teams for adherence to documented business guidelines. Validate all IQA forms are processed accurately and timely based on documented business rules.  Ensure all sanctioned providers are updated accurately and timely to meet compliance adherence thresholds.  Confirm all contracts are loaded by the PCM Maintenance teams for adherence to documented business rules.  Generates weekly quality metric reports to facilitate and support PCM Maintenance configuration efforts.  Facilitate quality metrics meetings with PCM business partners.  Provide coverage/assistance to quality coach peers as necessary.

Knowledge/Skills/Abilities

  • Performs research and analysis of customer initiated inquiries and requests, leveraging extensive programming experience and utilizing technical tools as necessary to debug/analyze problems.
  • Fields direct questions from Molina Operations Staff regarding business, technical and operations rules.
  • Develops technical solutions to business and system problems.
  • Provides excellent customer service to internal and external customers handling all aspects of client relations concerning technical projects, including notifying the client of implementation schedules and coordination and assistance in presentation of results.
  • Manage moderate project test tasks from requirements review through deployment, including work assignment, prioritization, issue triage etc.
  • Able to work in a project team setting while also able to complete tasks individually within the provided timeline or as needed, accelerated timeline to meet the desired deployment deadline. 
  • Responsible for performing quality reviews on iServe fulfilled tickets processed by the PCM Maintenance teams for adherence to documented business guidelines.  
  • Validate all IQA forms are followed up on accurately and timely based on documented business rules.  
  • Ensure all sanctioned providers are updated accurately and timely to meet compliance adherence thresholds.  
  • Confirm all contracts are loaded by the PCM Maintenance teams for adherence to documented business rules. Works effectively in a team environment and supports the activities and success of others on the team.
  • Demonstrates flexibility and commitment to complete the tasks and responsibilities of the position when required, including times outside of the position's normal working hours.
  • Demonstrates attention to detail.
  • Learns, comprehends, and applies information, both business and technical in a consistently satisfactory manner.
  • Flexibility to learn and adapt to changes in procedures, techniques, and position requirements.
  • Appropriately uses reference materials and other resources to complete tasks in a timely and effective manner.
  • Performs and accurately completes multiple tasks as required by the position.
  • Demonstrates flexibility to learn and adapt to new technologies and standard practices by consistently and appropriately incorporating new processes and procedures as developed and new tools as they are introduced.
  • Develops and maintains knowledge of business policies and procedures, and assesses their impact to applications.
  • Constructively contributes in all team, departmental, project team, status, and other meetings.
  • Performs other work as required or requested as well as additional assignments.
  • Prepare well organized, easily understood reports, analysis, and summary of findings for use by management

Job Qualifications

REQUIRED EDUCATION:

Bachelor’s Degree in Business Administration or Information Technology or equivalent combination of education and experience .                                                                                  

REQUIRED EXPERIENCE:

  • 3-5 years’ experience in a combination of applicable business and business systems 
  • Computer Science or Info tech
  • Testing experience required
  • Data analytics
  • Familiarity w/SDLC Methodologies:  Agile, waterfall, etc.

PHYSICAL DEMANDS:

Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

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: $67,725 - $128,519 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Type: Full Time Posting Date: 01/16/2025

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