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Lead Business Analyst - Provider Claims

Passport Health Plan by Molina Healthcare

Louisville, Kentucky

Job ID 2005177
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Passport Health Plan by Molina Healthcare has a mission to provide quality health care to those who need it, no matter their circumstances. Today, Molina health plans serve 3,331,000 members across the country through government-funded programs. Each day, we work to earn the trust our partners and members put in us, so they can lean on Molina. Together, Passport Health Plan and Molina share a commitment to improving the health and quality of life of our members across the Commonwealth of Kentucky.

  • Full Time, Part Time
  • Level: All Levels
  • Travel: Occassional
  • passport-logo

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Success Profile

What makes you successful at Passport Health Plan by Molina Healthcare? Check out the traits we’re looking for and see if you're the right fit!

  • Compassionate
  • Consultive
  • Patient
  • Problem-Solver
  • Sincere
  • Relationship Expertise

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  • Insurance

    Medical · Dental · Vision
    Group & Voluntary Life Insurance
    Aflac · Pet Health · Identity Theft
    Auto & Home Insurance

  • Savings

    Flexible Spending Accounts
    401K · Roth 401K
    Employee Stock Purchase Plan

  • Career Growth

    Continuing Education Units
    Education Reimbursement

  • Time Off

    Paid Time Off
    Volunteer Time Off
    Company Holidays

  • Additional Perks

    Legal Assistance Plan
    Employee Assistance & Well Being Programs
    Employee Perks Platform
    Rideshare Portal

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Job Description
Job Summary

The Lead Business Analyst within the Provider Services team will provide analytic support forreporting, compliance, network management, financial reimbursement models, provider performance and various provider services initiatives. Additionally, the position is relied upon to apply business knowledge to Analytics projects and provide value-added insights to directly impact business outcomes, requiring development of analytical approaches, conclusions and effective communication to various targeted audiences. The ideal candidate will have strong critical thinking skills, experience working with large data sets, ability to draw inferences, and a natural curiosity to identify and interpret trends and patterns in datasets to locate influences. May participate in management reviews, including presenting and interpreting analysis results, summarizing conclusions, and recommending a course of action.


• Act as primary Lead Analyst for business analyst team, assigned projects and proactively identify topics for analysis

• Creates specifications for reports and analysis based on business needs and required or available data elements.

• Collaborates with teams to modify or tailor existing analysis or reports to meet their specific needs.

• Write and edit SQL scripts for data extraction

• Explain complex business analytics results to non-technical audiences

• Ability to work in a team environment and collaborate across the entire organization

• Develop analytical models, spreadsheets, documents and presentations that are well documented (e.g., Excel, PowerPoint, and Tableau)

• Analyze claims data forecasting, planning, assessing risk and developing strategic considerations

• Perform forecasting, planning, assessing risk to developing strategic considerations

Job Qualifications
Required Education
Bachelor's Degree or equivalent combination of education and experience
Required Experience
•7+ years of business analysis experience 
•6+ years managed care experience.
•Demonstrates expertise in a variety of concepts, practices, and procedures applicable to job-related subject areas.
Preferred Education
Graduate Degree or equivalent combination of education and experience
Preferred Experience
•7-9 years project manager experience
•Experience working with complex, often highly technical teams.

•Intermediate/Advanced experience using Microsoft Office, including Excel, Visio and PowerPoint

•Experience working with complex, often highly technical teams.

•Experience writing SQL queries. 

Preferred License, Certification, Association
Certified Business Analysis Professional (CBAP), Certification from International Institute of Business Analysis preferred

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.

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: 10/30/2020

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