Molina Healthcare · 1 day ago
Analyst, Business
United States
Full-time
Remote
Entry, Mid Level
2+ years expMolina Healthcare is a managed care organization, and they are seeking a Business Analyst to support systems solutions development and maintenance. This role involves the intake and interpretation of regulatory requirements, coordination with stakeholders, and ensuring alignment with health plan requirements.
Health CareHospitalMedical
Responsibilities
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
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
Qualification
Required
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
Project implementation experience
Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA)
Medical Coding certification
Benefits
Molina Healthcare offers a competitive benefits and compensation package.
Company
Molina Healthcare
Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.
10001+ employees
H1B Sponsorship
Molina Healthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (56)
2024 (45)
2023 (43)
2022 (31)
2021 (35)
2020 (55)
Funding
Current Stage
Public CompanyTotal Funding
$2.35B2025-11-17Post Ipo Debt· $850M
2024-11-13Post Ipo Debt· $750M
2021-11-16Post Ipo Debt· $750M
Leadership Team
Dave Reynolds
Executive Vice President, Health Plans & Medicaid Chief Operating Officer
Debbie Simkins
Vice President, Office of the CIO
Recent News
2026-01-03
2025-12-30
Company data provided by crunchbase