Business Analyst, UM/CM
Molina Healthcare Arizona; Florida; Georgia; Davenport, Iowa; Austin, Texas; Provo, Utah; Washington; Spokane, Washington; Milwaukee, Wisconsin; Green Bay, Wisconsin; Tucson, Arizona; Scottsdale, Arizona; Boise, Idaho; Nampa, Idaho; Bowling Green, Kentucky; Michigan; Grand Rapids, Michigan; New Mexico; Santa Fe, New Mexico; Buffalo, New York; Cleveland, Ohio; Ohio; Dallas, Texas; West Valley City, Utah; Salt Lake City, Utah; Layton, Utah; Kenosha, Wisconsin; Tampa, Florida; Jacksonville, Florida; Ann Arbor, Michigan; Roswell, New Mexico; Syracuse, New York; Cincinnati, Ohio; Madison, Wisconsin; Chandler, Arizona; Miami, Florida; Savannah, Georgia; Des Moines, Iowa; Caldwell, Idaho; Lexington-Fayette, Kentucky; Kentucky; Detroit, Michigan; Kearney, Nebraska; Lincoln, Nebraska; Nebraska; Las Cruces, New Mexico; Orem, Utah; Vancouver, Washington; Mesa, Arizona; Columbus, Georgia; Atlanta, Georgia; Augusta, Georgia; Iowa; Cedar Rapids, Iowa; Meridian, Idaho; Bellevue, Nebraska; Yonkers, New York; Columbus, Ohio; Akron, Ohio; Tacoma, Washington; Racine, Wisconsin; Phoenix, Arizona; Orlando, Florida; Macon, Georgia; Covington, Kentucky; Sterling Heights, Michigan; Grand Island, Nebraska; New York, New York; Texas; Bellevue, Washington; St. Petersburg, Florida; Iowa City, Iowa; Idaho Falls, Idaho; Owensboro, Kentucky; Louisville, Kentucky; Warren, Michigan; Omaha, Nebraska; Dayton, Ohio; San Antonio, Texas; Houston, Texas; Fort Worth, Texas; Seattle, Washington; Sioux City, Iowa; Idaho; Albuquerque, New Mexico; Rio Rancho, New Mexico; New York; Rochester, New York; Utah; Wisconsin Job ID 2030724Molina Healthcare is hiring for a Business Analyst with in-depth knowledge of Utilization Management & Case Management
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.Â
- 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
- 1-3 years formal training in Business Analysis and/or Systems Analysis
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: $21.82 - $51.06 / HOURLY
*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: 03/13/2025ABOUT OUR LOCATION
View Map- Specialist, Corp Credentialing (Remote) Arizona, Idaho, Washington, Michigan, Nebraska, Utah, New Mexico, Ohio, Georgia, Iowa, Texas, Florida, Kentucky, New York 03/12/2025
- Configuration Analyst - QNXT (Benefits & Contracts) Arizona, Orlando Florida, Jacksonville Florida, Albuquerque New Mexico, Rio Rancho New Mexico, Cincinnati Ohio, Columbus Ohio, San Antonio Texas, Texas, Fort Worth Texas, Salt Lake City Utah, Davenport Iowa, Idaho, Scottsdale Arizona, Chandler Arizona, Phoenix Arizona, Tucson Arizona, Tampa Florida, Grand Island Nebraska, New Mexico, Rochester New York, Akron Ohio, Orem Utah, Spokane Washington, Layton Utah, Utah, Kenosha Wisconsin, Madison Wisconsin, Iowa, Cedar Rapids Iowa, Nampa Idaho, Idaho Falls Idaho, Meridian Idaho, Bellevue Nebraska, New York, Syracuse New York, Dallas Texas, Austin Texas, Provo Utah, Bellevue Washington, Wisconsin, Milwaukee Wisconsin, Georgia, Des Moines Iowa, Iowa City Iowa, Warren Michigan, Michigan, St. Petersburg Florida, Roswell New Mexico, New York New York, Vancouver Washington, Tacoma Washington, Boise Idaho, Grand Rapids Michigan, Nebraska, Omaha Nebraska, Kearney Nebraska, Las Cruces New Mexico, Yonkers New York, Ohio, Racine Wisconsin, Columbus Georgia, Augusta Georgia, Sioux City Iowa, Owensboro Kentucky, Bowling Green Kentucky, Miami Florida, Buffalo New York, Cleveland Ohio, Houston Texas, West Valley City Utah, Washington, Macon Georgia, Atlanta Georgia, Caldwell Idaho, Covington Kentucky, Mesa Arizona, Lexington-Fayette Kentucky, Detroit Michigan, Florida, Savannah Georgia, Santa Fe New Mexico, Dayton Ohio, Seattle Washington, Green Bay Wisconsin, Kentucky, Louisville Kentucky, Ann Arbor Michigan, Sterling Heights Michigan, Lincoln Nebraska 03/11/2025
- National Contracting Director Arizona, Grand Rapids Michigan, Grand Island Nebraska, Lincoln Nebraska, Rio Rancho New Mexico, Austin Texas, Tucson Arizona, Des Moines Iowa, Sioux City Iowa, Caldwell Idaho, Lexington-Fayette Kentucky, Michigan, Nebraska, Omaha Nebraska, Albuquerque New Mexico, Orem Utah, Provo Utah, Bellevue Washington, Spokane Washington, Green Bay Wisconsin, Kenosha Wisconsin, Mesa Arizona, St. Petersburg Florida, Atlanta Georgia, Idaho, Owensboro Kentucky, Warren Michigan, Kearney Nebraska, New Mexico, Syracuse New York, Dallas Texas, Houston Texas, Orlando Florida, Cedar Rapids Iowa, Ann Arbor Michigan, Buffalo New York, New York, Vancouver Washington, Georgia, Savannah Georgia, Macon Georgia, Davenport Iowa, Idaho Falls Idaho, Louisville Kentucky, Bowling Green Kentucky, Cleveland Ohio, Dayton Ohio, Columbus Ohio, Texas, Layton Utah, Racine Wisconsin, Kentucky, Bellevue Nebraska, Yonkers New York, Akron Ohio, Ohio, Seattle Washington, Madison Wisconsin, Scottsdale Arizona, Phoenix Arizona, Jacksonville Florida, Florida, Augusta Georgia, Meridian Idaho, Covington Kentucky, Santa Fe New Mexico, Las Cruces New Mexico, Rochester New York, New York New York, San Antonio Texas, Tacoma Washington, Washington, Chandler Arizona, Miami Florida, Tampa Florida, Columbus Georgia, Iowa City Iowa, Boise Idaho, Detroit Michigan, Sterling Heights Michigan, Roswell New Mexico, Cincinnati Ohio, Fort Worth Texas, Salt Lake City Utah, Utah, West Valley City Utah, Milwaukee Wisconsin, Wisconsin, Iowa, Nampa Idaho 02/27/2025
- National Contracting Director (Value Based) Arizona, Cleveland Ohio, Spokane Washington, Racine Wisconsin, Ann Arbor Michigan, Austin Texas, Dallas Texas, San Antonio Texas, Kenosha Wisconsin, Orem Utah, Green Bay Wisconsin, Roswell New Mexico, New York New York, Columbus Ohio, Seattle Washington, Vancouver Washington, Albuquerque New Mexico, Cincinnati Ohio, Provo Utah, Tacoma Washington, Milwaukee Wisconsin, Las Cruces New Mexico, Santa Fe New Mexico, Yonkers New York, Akron Ohio, Madison Wisconsin, Omaha Nebraska, Syracuse New York, Layton Utah, Lincoln Nebraska, Bellevue Nebraska, Rio Rancho New Mexico, Houston Texas, Salt Lake City Utah, West Valley City Utah, Bellevue Washington, Detroit Michigan, Kearney Nebraska, Grand Island Nebraska, Rochester New York, Fort Worth Texas, Grand Rapids Michigan, Buffalo New York, Dayton Ohio, Florida, Idaho, Iowa, Georgia, Kentucky, Michigan, Nebraska, New Mexico, Ohio, Texas, Utah, Wisconsin, Washington, New York 02/27/2025
No recently viewed jobs.
View All JobsNo saved jobs.
View All Jobs