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Sr Analyst, Advanced PDM - EDI/Claims/SQL - Remote - Military Veterans

at Molina Healthcare

Job Description


Job Summary

The Sr. Analyst, Advanced Provider Data Management is responsible for analyzing and understanding business processes, identifying areas for improvement, and developing solutions to optimize performance. The Sr. Analyst often acts as a liaison between the business units and IT, ensuring that technical solutions align with business goals.

Knowledge/Skills/Abilities

Collaborate with stakeholders to understand business objectives, gather requirements, and translate them into comprehensive business and functional specifications.
Analyze complex healthcare data sets to identify trends, patterns and insights that drive informed decision-making and process improvements.
Evaluate existing workflows, procedures, and systems to identify inefficiencies and opportunities for optimization, proposing and implementing innovative solutions.
Lead and support cross-functional projects from initiation to completion, ensuring adherence to timelines and quality standards.
Establish and maintain strong relationships with key stakeholders ensuring alignment and collaboration across departments.
Develop presentations to communicate key metrics, performance indicators and actionable insights to stakeholders at all levels of the organization.
Provide training, support, and guidance to end-users on new processes, systems, and tools, ensuring smooth implementation and adoption.

Job Qualifications

REQUIRED EDUCATION:

Bachelors degree in business administration, healthcare management, or a related field; or equivalent combination of education and experience

REQUIRED EXPERIENCE:

5-7 years of business analysis experience
Proficiency in data analysis tools and techniques, such as Excel or SQL
Excellent communication, presentation, and interpersonal skills, with the ability to interact effectively with stakeholders at all levels

PREFERRED EDUCATION:

Bachelors degree in business administration, healthcare management, or a related field

PREFERRED EXPERIENCE:

7-9 years of experience as a Business Analyst; healthcare industry strongly 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.

Pay Range: $59,810.6 - $129,589.63 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

USA

Molina Healthcare

Molina believes every person, family and community deserves access to high-quality health care regardless of their situation. Our mission is to deliver effective, reliable and affordable health care to those who need it most. We strive to meet the physical, social and emotional needs of each member and to strengthen the communities we serve. 

We do this by offering a holistic, community-based approach designed specifically to meet the individual needs of our members. 

What started in 1980 as one clinic in Long Beach, aimed at addressing the disparities in access to quality health care, has grown into 19 health plans across the country. For over 40-years we’ve been improving the lives of our 5.1 million members across the country by pioneering health care services exclusively for those with government-sponsored health care. 

As our membership has grown over the years, so has our commitment to the communities we serve. In 2020, we launched the MolinaCares Accord, which makes substantial investments to improve members’ access to health care. 

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