Job Information
Molina Healthcare Business Analyst, Tech Config Info Mgmt in New Mexico
JOB 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 Patient Liability and Medicaid processes.
KEY RESPONSIBILITIES
Perform research and analysis for inquiries and requests, utilizing technical tools as necessary to provide feedback and resolution within the Service Level Agreement.
Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
Responsible for timely completion of projects, not limited to timeline development and maintenance; coordinates activities and data collection with internal departments or external requestors.
Interpret business needs and translate them into application and operational requirements.
Create comprehensive workflows and documentation of operational processes and procedures.
Prioritize initiatives based on business needs and requirements.
Undertake project tasks as required
KNOWLEDGE, SKILLS & ABILITIES
Advanced written, oral, and interpersonal skills
Demonstrated ability of evaluating the effectiveness and efficiency of existing processes
Able to effectively prioritize and execute tasks
Able to generate insights from data analysis
Able to learn quickly and solve complex problems
Experience in partnering with cross-functional teams
Experience with documentation and meeting facilitation
Flexible and able to work with tight deadlines
Knowledge of Healthcare industry standards, concepts, terminology and common practices
Claims and SQL knowledge a plus
JOB QUALIFICATIONS
Required Education
Associate degree or equivalent combination of education and experience
Required Experience
1-3 Years
Preferred Education
Bachelor's Degree or equivalent combination of education and experience
Preferred Experience
3-4 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: $77,969 - $141,371 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.