Sr. Business Analyst (Credentialing Experience Required) - REMOTE

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    "ExternalDescriptionStr": "<p><span><strong>Senior Business Analyst – Credentialing Team</strong></span></p>\n<p><span>Position Summary</span></p>\n<p><span>The Senior Business Analyst will lead the end-to-end implementation of AI-enabled credentialing solutions in partnership with Molina IT, external vendors, and Credentialing Operations.&nbsp; This role is responsible for translating complex credentialing, regulatory, and operational requirements into system configurations and scalable workflows, while ensuring alignment across Salesforce platforms.</span></p>\n<ul>\n <li><span>Key Responsibilities</span>\n  <ul>\n   <li><span>Serve as the primary liaison between Credentialing, IT, and AI vendor teams for implementation and ongoing optimization</span></li>\n   <li><span>Lead requirements gathering, documentation, and translation into technical system design (Salesforce, vendor platforms)</span></li>\n   <li><span>Drive end-to-end implementation activities, including workflow design, system configuration alignment, testing, and deployment</span></li>\n   <li><span>Oversee vendor coordination, including requirement clarification, issue prioritization, and delivery tracking&nbsp;</span></li>\n   <li><span>Lead user acceptance testing (UAT), defect management, and system validation across credentialing processes&nbsp;</span></li>\n   <li><span>Identify and resolve process gaps, system defects, and operational inefficiencies</span></li>\n   <li><span>Support ongoing system enhancements, bug fixes, and release management for Salesforce credentialing system&nbsp;</span></li>\n   <li><span>Ensure all solutions meet regulatory, compliance, and audit requirements (e.g., CMS, state Medicaid rules, NCQA)&nbsp;</span></li>\n   <li><span>Develop process documentation, job aids, and governance materials for sustained operations Provide executive-level updates on risks, timelines, and implementation progress</span></li>\n  </ul></li>\n</ul>\n<p><strong>JOB QUALIFICATIONS</strong></p>\n<p><strong>Required Qualifications</strong></p>\n<ul>\n <li>At least 4 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. &nbsp;</li>\n <li>Policy/government legislative review knowledge</li>\n <li>Strong analytical and problem-solving skills</li>\n <li>Familiarity with administration systems</li>\n <li>Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams</li>\n <li>Previous success in a dynamic and autonomous work environment&nbsp;</li>\n</ul>\n<p><span><strong>Preferred Qualifications</strong></span></p>\n<ul>\n <li><span>Prior experience implementing or supporting AI or automation solutions</span></li>\n <li><span>Knowledge of sanctions/exclusions monitoring, and provider enrollment processes</span></li>\n <li><span>Experience working in Agile or iterative delivery environments, including backlog management, sprint planning, and participation in cross-functional delivery teams&nbsp;</span></li>\n <li><span>Familiarity with Jira and release management processes</span></li>\n</ul>\n<p>&nbsp;</p>\n<p>&nbsp;</p>\n<p>To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.</p>\n<p>Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.</p>",
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