Analyst, Business
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Before you apply
LocationUnited States
Work moderemote
Typefull-time
SeniorityMid
Experience2+ yrs
Company size10,000+ people
First seenOct 22, 2026 · 1w ago
Verified live1d ago
At a glanceSummarised by Seekless from the posting.
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
Policy/government legislative review knowledge
Strong analytical and problem-solving skills
Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams
Previous success in a dynamic and autonomous work environment
Project implementation experience
Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA)
Jira preferred
Project Management Methodology exposure
Care Management
Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas
Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company
Ability to concisely synthesize large and complex requirements
Ability to organize and maintain regulatory data including real-time policy changes
Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems
Ability to work independently in a remote environment
Ability to work with those in other time zones than your own
Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Skills
Word
Excel
Outlook
Teams
Jira
Benefits
Health insurance
JOB DESCRIPTION
Job Summary
Responsible for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable.
JOB DUTIES
•
Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline requirements and any health plan developed requirements.
•
Facilitates user acceptance testing; including creation of UAT scenarios and tracks defect management.
•
Monitors sources to ensure all updates are aligned.
•
Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key partner organizations.
•
Conducts analysis to identify root cause and assist with problem management as it relates to state requirements.
•
Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices.
•
Provides support for requirement interpretation inconsistencies and complaints.
•
Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials.
•
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 to ensure all end-to-end business requirements have been documented and interpretation is agreed on and clear for solutioning.
•
Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas.
•
Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company.
•
Ability to concisely synthesize large and complex requirements.
•
Ability to organize and maintain regulatory data including real-time policy changes.
•
Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems.
•
Ability to work independently in a remote environment.
•
Ability to work with those in other time zones than your own.
JOB QUALIFICATIONS
Required 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.
•
Policy/government legislative review knowledge.
•
Strong analytical and problem-solving skills.
•
Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams.
•
Previous success in a dynamic and autonomous work environment.
Preferred Qualifications
•
Project implementation experience
•
Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA).
•
Jira preferred
•
Project Management Methodology exposure
•
Care Management
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Legal
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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