Sr Business Systems Analyst
Molina Healthcare Arizona; San Antonio, Texas; Dayton, Ohio; Kentucky; Washington; Nampa, Idaho; Iowa City, Iowa; Warren, Michigan; Grand Island, Nebraska; Columbus, Ohio; Georgia; Iowa; New York; Seattle, Washington; Bellevue, Washington; Tucson, Arizona; Scottsdale, Arizona; Jacksonville, Florida; Augusta, Georgia; Macon, Georgia; Sterling Heights, Michigan; Vancouver, Washington; Chandler, Arizona; Idaho Falls, Idaho; Caldwell, Idaho; Lexington-Fayette, Kentucky; Ann Arbor, Michigan; Rio Rancho, New Mexico; New York, New York; Cincinnati, Ohio; New Mexico; Tacoma, Washington; Madison, Wisconsin; Kenosha, Wisconsin; Racine, Wisconsin; Orlando, Florida; Savannah, Georgia; Louisville, Kentucky; Bowling Green, Kentucky; Phoenix, Arizona; Tampa, Florida; Boise, Idaho; Cedar Rapids, Iowa; Owensboro, Kentucky; Yonkers, New York; St. Petersburg, Florida; Miami, Florida; Davenport, Iowa; Bellevue, Nebraska; Santa Fe, New Mexico; Buffalo, New York; Rochester, New York; Michigan; Provo, Utah; Orem, Utah; Texas; Utah; Milwaukee, Wisconsin; Green Bay, Wisconsin; Mesa, Arizona; Atlanta, Georgia; Meridian, Idaho; Des Moines, Iowa; Sioux City, Iowa; Covington, Kentucky; Grand Rapids, Michigan; Lincoln, Nebraska; Syracuse, New York; Florida; Houston, Texas; Dallas, Texas; Nebraska; West Valley City, Utah; Columbus, Georgia; Detroit, Michigan; Kearney, Nebraska; Las Cruces, New Mexico; Roswell, New Mexico; Cleveland, Ohio; Omaha, Nebraska; Albuquerque, New Mexico; Idaho; Akron, Ohio; Austin, Texas; Ohio; Fort Worth, Texas; Salt Lake City, Utah; Layton, Utah; Wisconsin; Spokane, Washington Job ID 2029340JOB DESCRIPTION
Job Summary
A successful candidate will have a balance of business insight, critical thinking, strong communication and analytical skills. Possess the ability to work independently, self-navigate organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive proper courses of action for remediation. This role will support processes for multiple lines of business as related to cost share accumulators.
KNOWLEDGE/SKILLS/ABILITIES
- Participates in defect resolution for assigned component
- Assists with development of configuration standards and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality.
- Assists in planning and coordination of application upgrades and releases, including development and execution of some test plans.
- Participates in the implementation and conversion of new and existing health plans.
- Completes analysis on retroactive claims reports
- Pre and post validation of complex retro reports.
- Submit RFCs in iServe, and validates after completion.
- Researches and reviews issues identified by the HPs and CIM to determine root cause of the issue and what updates are needed to resolve it.
- Write requirements and for reports and development projects for cost share accumulator processes to be built by the TCIM Development team.
- Writes/runs simple SQL scripts to validate retro reports and pre-prod reports.
- Monitors and tracks fee schedules progress providing updates to the HPs once they have been completed.
- Understands QNXT and claims functionality. Requires assistance with schema from Tech resource or Lead Analyst.
- Writes Requirements for BRDs/FRDs and Reports.
- Complex requirements with some mentoring
- Moderate to Simple requirements without needing mentoring
- Works with Technical resource for schema/solution
- Manage projects from requirements to deployment, including work assignment, prioritization, issue triage etc.
- Complex projects with some mentoring
- Moderate to Simple projects without mentoring
JOB QUALIFICATIONS
Required Education
Associate degree or equivalent combination of education and experience
Required Experience
3-4 Years
Preferred Education
Bachelor's Degree or equivalent combination of education and experience
Preferred Experience
5-6 Years
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 - $155,508 / 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: 01/11/2025ABOUT OUR LOCATION
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