Location: all cities,OH, USA
**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 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.