Business Analyst (Payment Policy)
Job Summary
Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Assist with HTML, CSS and Javascript coding. Reviewing medical records and verifying reimbursements are configured and submitted correctly. Verifies medical billing and coding meet state and federal medical regulations.
KNOWLEDGE/SKILLS/ABILITIES
- Provides analytical, problem solving foundation including: definition and documentation, specifications.
- Recognizes, identifies and documents changes to existing business processes and identifies new opportunities for process developments and improvements.
- Reviews, researches, analyzes and evaluates all data relating to specific area of expertise. Begins process of becoming subject matter expert.
- Conducts analysis and uses analytical skills to identify root cause and assist with problem management as it relates to state requirements.
- Analyzes business workflow and system needs for conversions and migrations to ensure that encounter, recovery and cost savings regulations are met
- Prepares high level user documentation and training materials as needed.
JOB QUALIFICATIONS
Required Education
Associate's Degree or equivalent combination of education and experience
Required Experience
- 3-5 Years of business analysis
- 4+ years managed care experience
- Demonstrates familiarity in a variety of concepts, practices, and procedures applicable to job-related subject areas.
Preferred Education
Bachelor's Degree or equivalent combination of education and experience
Preferred Experience
- 1-3 years formal training in Business Analysis and/or Systems Analysis
- HTML, CSS, and JavaScript coding skills
- Experience reviewing medical records.
- Medical reimbursement knowledge
- Billing and coding expertise
- Familiarity with state and federal medical regulations
- Strong writing abilities and SharePoint proficiency
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: $21.82 - $51.06 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.