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Sr Business Analyst, Healthcare A&G Process Improvement

Company: Molina Healthcare
Location: Des Moines
Posted on: November 26, 2022

Job Description:

Job Summary

Molina Healthcare is hiring a Sr. Business Analyst who has verifiable experience in Health Insurance Appeals & Grievances and Process Improvement. This role is on a team that handles implementations and code changes for our Health Plans nation-wide.

Ideal candidates will have the following experience:

  • Managed Care/ MCO / Health Insurance Business Analyst experience
  • Appeals and Grievances experience
  • Jira, Agile, Waterfall
  • Writing stories, working with developers to help create stories
  • Gathering requirements
  • Testing code
  • Medical terminology- understanding of types of claims
  • Must have a high level of attention to detail, able to work in a fast-paced environment with competing priorities, ability to work independently with little oversight (once fully trained). 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 into 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. JOB QUALIFICATIONS

      Required Education: Bachelor's Degree or equivalent combination of education and experience

      Required Experience
      • 5-7 years of business analysis experience,
      • 6+ years managed care experience.
      • Demonstrates proficiency in a variety of concepts, practices, and procedures applicable to job-related subject areas. Preferred Experience
        • 3-5 years of formal training in Project Management
        • Experience working with complex, often highly technical teams
        • Scrum Master a plus! Preferred License, Certification, Association: Certified Business Analysis Professional (CBAP), Certification from International Institute of Business Analysis preferred

          Key Words: Analyst, Business Analyst, BA, Sr Business Analyst, Critical Thinking, Organization Skills, Troubleshooting, Analysis, Communication, Presentation, Collaborate, Jira, Agile, Waterfall, Agile Software, Facilitation, Analytical, Accuracy, Accurate, Stakeholder Analysis, Healthcare, Managed Care, MCO, A&G, Appeals, Appeals and Grievances.

          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, Des Moines , Sr Business Analyst, Healthcare A&G Process Improvement, Professions , Des Moines, Iowa

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