Sr Analyst, Business - Encounters/Claims/SQL/Excel - Remote

Company: Molina Healthcare
Location: Council Bluffs
Posted on: January 25, 2023

Job Description:

Sr B.A. works with internal and external Business Process Owners to identify the business processes and requirements within the scope of a project for encounters. -Supports review of current business processes; analyze business data to enable effective, efficient operations; identify process gaps and improvements; and capture new business requirements. - 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 --- Elicit requirements using interviews, document analysis, and requirements workshops, business process descriptions, use cases, business analysis, task and workflow analysis. --- Interpret customer business needs and translate them into application and operational requirements --- Communicate and collaborate with external and internal customers to analyze and transform needs, goals and transforming in to functional requirements and delivering the appropriate artifacts as needed. --- Work with operational leaders within the business to provide recommendations on opportunities for process improvements, medical cost savings or revenue enhancements. --- Create Business Requirements Documents, Test Plans, Requirements Traceability Matrix, User Training materials and other related documentations. --- Actively participates in all stages of project development including research, design, programming, testing and implementation to ensures the released product meets the intended functional and operational requirements. - --- Sr Business Analyst - Claims Encounters works with internal and external Business Process Owners to identify the business processes and requirements within the scope of a project for encounters. --- Supports review of current business processes; analyze business data to enable effective, efficient operations; identify process gaps and improvements; and capture new business requirements. Job Qualifications - Required Education Bachelor's Degree or equivalent combination of education and experience - Required Experience ---5-7 years of business analysis experience from a Claims/Encounters functional and technical perspective in managed care/healthcare insurance. - ---6+ years managed care experience. ---Demonstrates proficiency in a variety of concepts, practices, and procedures applicable to job-related subject areas. ---Experience gathering requirement from the business, developing and updating Business Requirement Documents. - ---Demonstrated experience developing and executing User Acceptance Test case scenarios for system configuration for Encounters submission. - - Preferred Experience ---3-5 years of formal training in Project Management ---Experience working with complex, often highly technical teams --- 2 years experience writing and maintaining SQL queries. - ---Basic knowledge of Waterfall/Agile methodology. - ---Excel Proficient. - 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: -$54,922.50 - $107,098.87 a year* - *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Keywords: Molina Healthcare, Council Bluffs , Sr Analyst, Business - Encounters/Claims/SQL/Excel - Remote, IT / Software / Systems , Council Bluffs, Iowa