Skip to main content

Search Jobs
Search

Let us search jobs for you based on the skills and experience listed in your LinkedIn profile.

Start Matching Jobs
close message

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.

Lead Analyst, Business Quality - Excel/SQL/Claims Configuration

Molina Healthcare Arizona; Florida; Ohio; Utah; Washington; Texas; Iowa; Kentucky; Nebraska; Idaho; Michigan; New Mexico; Wisconsin; Georgia; New York Job ID 2029022
Apply Now

Job Description


Job Summary

Interfaces with the customer in developing requirements for major complex claims testing projects within Medicare, Medicaid and Marketplace;  prepares system test design specifications; conducts research to resolve customer initiated issues related to  core systems processing; and coordinates and manages project test resources in the development of large multi-system, multi-platform test project. Responsible for accurate and timely creation and execution of UAT test artifacts and tasks. May also assigns and manages the workload for a team of analysts on the project

Job Duties

•            Works closely with customer to develop test requirements for major projects of considerable   complexity.

             Lead/mentor Business Analysts and Sr Business Analysts on the team

•            Prepares general system test design specifications.

•            Creates, reviews, analyzes and estimates project test requests.

•            Performs research and analysis of customer initiated inquiries and requests, utilizing technical tools as necessary to fully test reported issues/requirements .

•            Fields direct questions from Molina Operations Staff regarding business, technical and operations rules that may impact  testing.

•            Develops technical tests  to complex business and system problems.

•            Provides guidance for  development teams through project testing  as needed.

•            Provides excellent customer service to internal and external customers handling all aspects of client relations concerning testing for technical projects, including notifying the client of implementation schedules and co-ordination and assistance in presentation of results.

•            Provides leadership by mentoring others and sharing business and system knowledge. 

•            Develops, reviews and validates test results per requirements.

•            Develops and documents a test plan that describes the testing steps and test cases needed to prove that the components of the solution work as expected for any and all solutions, including complex solutions

•            Creates, presents and executes functional and acceptance test cases in accordance with the requirements of the solution/project.

•            Manages complex project testing tasks from requirements review through deployment, including work assignment,  prioritization, issue triage etc.

•            Understands other Molina  changes in process that may impact the customer, and notifies the customer of such changes well ahead of their implementation.  

•            Supports Integrated Test Facility (QA) as needed through audit and validation of testing wor completed.

•            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.

•            Provides testing guidance to  Business Systems Analysts as needed for the project.

Job Qualifications

REQUIRED EDUCATION:

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

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:

7 + years experience in a combination of applicable business and business systems 

PREFERRED EXPERIENCE:

Medicare, Medicaid and Marketplace claims knowledge

Complex SQL and Excel expert knowledge

SQL query and coding    

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: $73,102 - $171,058 / 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: 11/21/2024

ABOUT OUR LOCATION

View Map

Job Alerts

Sign up to receive automatic notices when jobs that match your interests are posted.

By uploading your resume you are not submitting an application for employment

Interested InSelect a job category from the list of options. Search for a location and select one from the list of suggestions. Finally, click “Add” to create your job alert.

  • Operations, Arizona, United StatesRemove
  • Operations, Florida, United StatesRemove
  • Operations, Ohio, United StatesRemove
  • Operations, Utah, United StatesRemove
  • Operations, Washington, United StatesRemove
  • Operations, Texas, United StatesRemove
  • Operations, Iowa, United StatesRemove
  • Operations, Kentucky, United StatesRemove
  • Operations, Nebraska, United StatesRemove
  • Operations, Idaho, United StatesRemove
  • Operations, Michigan, United StatesRemove
  • Operations, New Mexico, United StatesRemove
  • Operations, Wisconsin, United StatesRemove
  • Operations, Georgia, United StatesRemove
  • Operations, New York, United StatesRemove