Business Analyst, Clinical Value (Remote)

Molina Healthcare

380d • $45,386 - $106,205 • Remote

About The Position

The Business Analyst, Clinical Value position at Molina Healthcare involves analyzing and interpreting operational, outcome, and financial datasets to assess the performance of clinical programs. The role requires collaboration with various teams to present analysis results and recommend actions that enhance organizational value.

Requirements

• Associate's degree or equivalent combination of education and experience.
• 3-5 years of business analysis experience.
• 4+ years of managed care experience.
• Familiarity with various concepts, practices, and procedures applicable to the job.

Nice To Haves

• Bachelor's degree or equivalent combination of education and experience.
• Excel Power User and Power BI experience.
• Experience in making complex data easily digestible for various audiences.
• 1-3 years of formal training in Business Analysis and/or Systems Analysis.
• Understanding of Utilization Management and/or Case Management processes, data, metrics, KPIs.
• Finance and/or Accounting experience or aptitude.

Responsibilities

• Analyze and interpret operational, outcome, and financial datasets and reports.
• Work closely with analysts, managers, and leaders from various teams including clinical, health plan, Medical Economics, and Finance.
• Participate in management reviews, presenting and interpreting analysis results.
• Document changes to existing business processes and identify new opportunities for improvements.
• Conduct analysis to identify root causes and assist with problem management related to state requirements.
• Analyze business workflow and system needs for conversions and migrations.
• Prepare high-level user documentation as needed.
• Collaborate with supporting areas and processes for data analysis and synthesis.
• Package data-centric source material for senior leaders, including C Suite executives.

Benefits

• Competitive benefits and compensation package.

What This Job Offers

• Job Type: Full-time
• Industry: Insurance Carriers and Related Activities
• Education Level: Associate degree