Business Analyst
Molina Healthcare · United States · 2 mo ago
RemoteRemoteAnalyst$45k–$97k/yrFull-time
Job Summary
Job Duties
- Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes.
- Maintains alignment with regulatory baseline requirements and health plan developed requirements.
- Maintains coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees.
- Conducts analysis to identify root cause and assists with problem management.
- Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas.
- Supports requirement interpretation inconsistencies and complaints.
- Reports on work efforts and impact for any prospective or retrospective requirement changes.
- Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit planning purposes.
Knowledge/Skills/Abilities
- Maintains relationships with Health Plans/Product Team and Corporate Operations.
- Meets aggressive timelines and balances multiple lines of business, states, and requirement areas.
- Communicates effectively with all levels of the company.
- Synthesizes large and complex requirements.
- Maintains regulatory data including real-time policy changes.
- Works independently in a remote environment.
- Works with those in other time zones than their own.
Job Qualifications
- At least 2 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience.
- Prior experience in policy/government legislative review.
- Strong analytical and problem-solving skills.
- Experience with Office Product Suite including Word, Excel, Outlook and Teams.
- Project implementation experience.
- Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA).
- Medical Coding certification.
Benefits
Pay Range: $44,936.59 - $97,362.61 / ANNUAL