Analyst, Business Quality - QA Audit/QNXT/Power BI/SQL - Remote
Molina Healthcare Arizona; Rochester, New York; Salt Lake City, Utah; Orem, Utah; Spokane, Washington; Kenosha, Wisconsin; Mesa, Arizona; Chandler, Arizona; Cedar Rapids, Iowa; Kentucky; Kearney, Nebraska; Rio Rancho, New Mexico; Buffalo, New York; Fort Worth, Texas; Provo, Utah; Madison, Wisconsin; Green Bay, Wisconsin; Tucson, Arizona; Jacksonville, Florida; Atlanta, Georgia; Columbus, Georgia; Lincoln, Nebraska; Florida; Michigan; Ohio; Columbus, Ohio; Idaho Falls, Idaho; Detroit, Michigan; Sterling Heights, Michigan; Omaha, Nebraska; Idaho; Nebraska; Texas; Utah; Seattle, Washington; Santa Fe, New Mexico; New York, New York; Houston, Texas; Dallas, Texas; Vancouver, Washington; Bellevue, Washington; Orlando, Florida; Sioux City, Iowa; Owensboro, Kentucky; Grand Island, Nebraska; Syracuse, New York; West Valley City, Utah; Austin, Texas; Tampa, Florida; St. Petersburg, Florida; Augusta, Georgia; Boise, Idaho; Bellevue, Nebraska; Albuquerque, New Mexico; Dayton, Ohio; Cleveland, Ohio; Cincinnati, Ohio; San Antonio, Texas; Tacoma, Washington; Milwaukee, Wisconsin; Miami, Florida; Nampa, Idaho; Davenport, Iowa; Bowling Green, Kentucky; Covington, Kentucky; Georgia; New Mexico; New York; Akron, Ohio; Layton, Utah; Phoenix, Arizona; Savannah, Georgia; Meridian, Idaho; Des Moines, Iowa; Iowa City, Iowa; Louisville, Kentucky; Grand Rapids, Michigan; Warren, Michigan; Ann Arbor, Michigan; Wisconsin; Las Cruces, New Mexico; Roswell, New Mexico; Yonkers, New York; Racine, Wisconsin; Scottsdale, Arizona; Caldwell, Idaho; Macon, Georgia; Lexington-Fayette, Kentucky; Iowa; Washington Job ID 2029627Job Description
Job Summary
Assist business teams with developing requirements for major projects of considerable complexity, prepares system design specifications, conducts research to resolve customer-initiated issues related to core systems processing, and coordinates and manages project teams in the development of large multi-system, multi-platform projects. This position is responsible for performing quality audits on iServe fulfilled tickets processed by the PCM Maintenance teams for adherence to documented business guidelines. Validate all IQA forms are processed accurately and timely based on documented business rules. Ensure all sanctioned providers are updated accurately and timely to meet compliance adherence thresholds. Confirm all contracts are loaded by the PCM Maintenance teams for adherence to documented business rules. Generates weekly quality metric reports to facilitate and support PCM Maintenance configuration efforts. Facilitate quality metrics meetings with PCM business partners. Provide coverage/assistance to quality coach peers as necessary.
Knowledge/Skills/Abilities
- Performs research and analysis of customer initiated inquiries and requests, leveraging extensive programming experience and utilizing technical tools as necessary to debug/analyze problems.
- Fields direct questions from Molina Operations Staff regarding business, technical and operations rules.
- Develops technical solutions to business and system problems.
- Provides excellent customer service to internal and external customers handling all aspects of client relations concerning technical projects, including notifying the client of implementation schedules and coordination and assistance in presentation of results.
- Manage moderate project test tasks from requirements review through deployment, including work assignment, prioritization, issue triage etc.
- Able to work in a project team setting while also able to complete tasks individually within the provided timeline or as needed, accelerated timeline to meet the desired deployment deadline.
- Responsible for performing quality reviews on iServe fulfilled tickets processed by the PCM Maintenance teams for adherence to documented business guidelines.
- Validate all IQA forms are followed up on accurately and timely based on documented business rules.
- Ensure all sanctioned providers are updated accurately and timely to meet compliance adherence thresholds.
- Confirm all contracts are loaded by the PCM Maintenance teams for adherence to documented business rules. Works effectively in a team environment and supports the activities and success of others on the team.
- Demonstrates flexibility and commitment to complete the tasks and responsibilities of the position when required, including times outside of the position's normal working hours.
- Demonstrates attention to detail.
- Learns, comprehends, and applies information, both business and technical in a consistently satisfactory manner.
- Flexibility to learn and adapt to changes in procedures, techniques, and position requirements.
- Appropriately uses reference materials and other resources to complete tasks in a timely and effective manner.
- Performs and accurately completes multiple tasks as required by the position.
- Demonstrates flexibility to learn and adapt to new technologies and standard practices by consistently and appropriately incorporating new processes and procedures as developed and new tools as they are introduced.
- Develops and maintains knowledge of business policies and procedures, and assesses their impact to applications.
- Constructively contributes in all team, departmental, project team, status, and other meetings.
- Performs other work as required or requested as well as additional assignments.
- Prepare well organized, easily understood reports, analysis, and summary of findings for use by management
Job Qualifications
REQUIRED EDUCATION:
Bachelor’s Degree in Business Administration or Information Technology or equivalent combination of education and experience .
REQUIRED EXPERIENCE:
- 3-5 years’ experience in a combination of applicable business and business systems
- Computer Science or Info tech
- Testing experience required
- Data analytics
- Familiarity w/SDLC Methodologies: Agile, waterfall, etc.
PHYSICAL DEMANDS:
Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.
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: $77,969 - $128,519 / ANNUAL
*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.
Job Type: Full Time Posting Date: 01/16/2025ABOUT OUR LOCATION
View Map- Sr Analyst, Network Solutions & Operations Arizona, Green Bay Wisconsin, Louisville Kentucky, Las Cruces New Mexico, Orem Utah, Cleveland Ohio, Provo Utah, Milwaukee Wisconsin, Dayton Ohio, Kearney Nebraska, Roswell New Mexico, Buffalo New York, Warren Michigan, Scottsdale Arizona, Bellevue Washington, Washington, Wisconsin, Chandler Arizona, Miami Florida, Iowa City Iowa, Florida, Caldwell Idaho, Yonkers New York, Sterling Heights Michigan, Salt Lake City Utah, New York, Ann Arbor Michigan, Dallas Texas, Ohio, Vancouver Washington, Mesa Arizona, Michigan, Cincinnati Ohio, Grand Rapids Michigan, Utah, Phoenix Arizona, Columbus Georgia, Savannah Georgia, Tacoma Washington, Idaho Falls Idaho, Idaho, Nebraska, Layton Utah, Boise Idaho, New York New York, Columbus Ohio, Austin Texas, Nampa Idaho, Texas, Bowling Green Kentucky, Lincoln Nebraska, Rochester New York, Georgia, Iowa, San Antonio Texas, Seattle Washington, Spokane Washington, Kenosha Wisconsin, Racine Wisconsin, Des Moines Iowa, New Mexico, Augusta Georgia, Akron Ohio, Fort Worth Texas, Grand Island Nebraska, West Valley City Utah, Tucson Arizona, Syracuse New York, Tampa Florida, Kentucky, St. Petersburg Florida, Omaha Nebraska, Meridian Idaho, Houston Texas, Atlanta Georgia, Davenport Iowa, Cedar Rapids Iowa, Jacksonville Florida, Orlando Florida, Madison Wisconsin, Macon Georgia, Covington Kentucky, Santa Fe New Mexico, Rio Rancho New Mexico, Bellevue Nebraska, Lexington-Fayette Kentucky, Detroit Michigan, Owensboro Kentucky, Sioux City Iowa, Albuquerque New Mexico 01/16/2025
- Engineer, Big Data - SQL/Databricks/Data Modeling/Pipelines/Power BI - Remote Arizona, Madison Wisconsin, Savannah Georgia, Nampa Idaho, Idaho Falls Idaho, Cedar Rapids Iowa, Iowa City Iowa, Lexington-Fayette Kentucky, Lincoln Nebraska, Santa Fe New Mexico, Miami Florida, Tampa Florida, Ohio, Houston Texas, Austin Texas, Fort Worth Texas, Salt Lake City Utah, Vancouver Washington, Milwaukee Wisconsin, Racine Wisconsin, Bellevue Nebraska, Kearney Nebraska, Las Cruces New Mexico, Iowa, New York, Washington, Orem Utah, Layton Utah, Tacoma Washington, Kenosha Wisconsin, Roswell New Mexico, New York New York, Syracuse New York, Sterling Heights Michigan, Grand Island Nebraska, Orlando Florida, St. Petersburg Florida, Atlanta Georgia, New Mexico, Akron Ohio, San Antonio Texas, West Valley City Utah, Spokane Washington, Bellevue Washington, Green Bay Wisconsin, Augusta Georgia, Meridian Idaho, Bowling Green Kentucky, Rio Rancho New Mexico, Tucson Arizona, Florida, Georgia, Kentucky, Provo Utah, Seattle Washington, Yonkers New York, Louisville Kentucky, Covington Kentucky, Phoenix Arizona, Wisconsin, Dayton Ohio, Columbus Georgia, Macon Georgia, Caldwell Idaho, Des Moines Iowa, Buffalo New York, Columbus Ohio, Detroit Michigan, Omaha Nebraska, Albuquerque New Mexico, Scottsdale Arizona, Michigan, Nebraska, Cincinnati Ohio, Sioux City Iowa, Mesa Arizona, Chandler Arizona, Utah, Cleveland Ohio, Dallas Texas, Boise Idaho, Davenport Iowa, Rochester New York, Owensboro Kentucky, Jacksonville Florida, Grand Rapids Michigan, Warren Michigan, Ann Arbor Michigan, Idaho, Texas 12/11/2024
- COE CM Director, (RN required) Arizona, Phoenix Arizona, Vancouver Washington, Idaho Falls Idaho, Boise Idaho, Buffalo New York, Grand Rapids Michigan, Mesa Arizona, Cedar Rapids Iowa, Rochester New York, Layton Utah, Madison Wisconsin, San Antonio Texas, Orlando Florida, Macon Georgia, Dallas Texas, Racine Wisconsin, Scottsdale Arizona, Tampa Florida, Meridian Idaho, Atlanta Georgia, Green Bay Wisconsin, Tucson Arizona, Iowa City Iowa, Lexington-Fayette Kentucky, Detroit Michigan, Miami Florida, Orem Utah, Bowling Green Kentucky, Ann Arbor Michigan, Akron Ohio, Dayton Ohio, Caldwell Idaho, Chandler Arizona, Jacksonville Florida, St. Petersburg Florida, Augusta Georgia, Nampa Idaho, Salt Lake City Utah, Lincoln Nebraska, West Valley City Utah, Columbus Georgia, Owensboro Kentucky, Warren Michigan, Louisville Kentucky, Fort Worth Texas, Des Moines Iowa, Bellevue Nebraska, Syracuse New York, Omaha Nebraska, Roswell New Mexico, Columbus Ohio, Cleveland Ohio, Florida, Kentucky, New Mexico, Georgia, Ohio, Michigan, Iowa, Nebraska, Washington, Wisconsin, Idaho, Utah, New York, Texas, New York New York, Houston Texas, Austin Texas, Bellevue Washington, Rio Rancho New Mexico, Seattle Washington, Tacoma Washington, Kenosha Wisconsin, Kearney Nebraska, Cincinnati Ohio, Provo Utah, Las Cruces New Mexico, Santa Fe New Mexico, Albuquerque New Mexico, Grand Island Nebraska, Sioux City Iowa, Savannah Georgia, Covington Kentucky, Milwaukee Wisconsin, Davenport Iowa, Yonkers New York, Spokane Washington, Sterling Heights Michigan 12/11/2024
- Manager, HCS Clinical Policy - Medicare (Remote) Arizona, Miami Florida, Tampa Florida, Nampa Idaho, Iowa City Iowa, Louisville Kentucky, Albuquerque New Mexico, Yonkers New York, Austin Texas, Bellevue Washington, Racine Wisconsin, Chandler Arizona, Savannah Georgia, Boise Idaho, Cedar Rapids Iowa, Detroit Michigan, Idaho, Bellevue Nebraska, Utah, Fort Worth Texas, Tacoma Washington, Vancouver Washington, Milwaukee Wisconsin, St. Petersburg Florida, Meridian Idaho, Idaho Falls Idaho, Caldwell Idaho, Owensboro Kentucky, Covington Kentucky, Ann Arbor Michigan, Kearney Nebraska, Cleveland Ohio, Columbus Georgia, Macon Georgia, Sioux City Iowa, Lexington-Fayette Kentucky, Bowling Green Kentucky, Sterling Heights Michigan, Kentucky, Grand Island Nebraska, Rio Rancho New Mexico, Ohio, New York New York, Buffalo New York, Rochester New York, Wisconsin, Dayton Ohio, Phoenix Arizona, Scottsdale Arizona, Davenport Iowa, Warren Michigan, Michigan, Nebraska, Washington, Roswell New Mexico, Syracuse New York, San Antonio Texas, West Valley City Utah, Green Bay Wisconsin, Atlanta Georgia, Grand Rapids Michigan, Iowa, Texas, Santa Fe New Mexico, Columbus Ohio, Akron Ohio, Houston Texas, Salt Lake City Utah, Provo Utah, Spokane Washington, Jacksonville Florida, Augusta Georgia, Des Moines Iowa, Florida, Lincoln Nebraska, Las Cruces New Mexico, Cincinnati Ohio, Dallas Texas, Layton Utah, Kenosha Wisconsin, Tucson Arizona, Orlando Florida, Omaha Nebraska, Georgia, New Mexico, New York, Orem Utah, Madison Wisconsin, Mesa Arizona 02/12/2025