Medicare Strategy Associate (Business Analyst)

JOB DESCRIPTION

Job Summary

Responsible for creating segment and state-specific strategies as well as driving key strategic initiatives to transform the Medicare organization. Strategy development efforts include data analysis and synthesis of regulatory, competitive, and operational insights. The incumbent will work cross-functionally with stakeholders across the enterprise and will have exposure to functional and segment leadership.

JOB DUTIES

• Develops and maintains state and product-specific Medicare growth strategies
• Assesses strategic impact of regulatory changes
• Conducts quantitative and qualitative analyses using internal and external data sources to identify performance trends, risks, and opportunities across Medicare Advantage markets
• Partners with cross-functional teams (e.g., Product, Network, Finance, Operations) to gather inputs, validate assumptions, and align on strategic priorities 
• Prepares presentations and analyses that clearly articulate insights, tradeoffs, and recommended actions 

KNOWLEDGE/SKILLS/ABILITIES

• Maintains relationships with Health Plans/Product Team and Corporate Operations to ensure all end-to-end business requirements have been documented and interpretation is agreed on and clear for solutioning.
• Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas.
• Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company.
• Ability to concisely synthesize large and complex requirements.
• Ability to organize and maintain regulatory data including real-time policy changes.
• Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems.
• Ability to work independently in a remote environment.
• Ability to work with those in other time zones than your own.

JOB QUALIFICATIONS

Required Qualifications

• 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 Qualifications

• Medicare experience
• Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS).
• Strong analytical and problem-solving skills.
• Ability to frame strategic challenges with research and synthesis and draw out solutions and create action plans
• Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams.
• Previous success in a dynamic and autonomous work environment.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.