Business Analyst (Payment Policy)
: Job Details :


Business Analyst (Payment Policy)

Molina Healthcare

Location: all cities,OH, USA

Date: 2024-11-16T11:34:01Z

Job Description:
**JOB DESCRIPTION****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 submittedcorrectly. 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 proficiencyTo 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: $26.19 - $51.06 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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