Molina Healthcare Inc. Career Opportunities
Within the last 5 years, what role did the following play in your job:
Knowledge of Medicaid Industry
Within the last 5 years, what role did the following play in your job:
SQL Scripting/SQL Queries
Within the last 5 years, what role did the following play in your job:
TriZetto Healthcare Systems such as QNXT or FACETS
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MITA Systems Analyst III
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Opportunity Snapshot

Bring your deep knowledge and strong experience to a lead role where you’ll expand your skill on both the business and technical sides of Medicaid, and where you’ll have the opportunity to add your voice and input to help shape the future of the company. Quick question for you - click here As a MITA Systems Analyst III you’ll be a key point of contact at client sites, gathering requirements and ensuring the job is being completed to the correct specifications by the level I and II Analysts who are doing the configuration, unit testing, and support of Health PAS, a new, high-performance, adaptive, real time solution for the modern Medicaid system.

If you are looking for an upbeat and positive environment where you’ll know your work is appreciated, and where the employees are proud to support Molina’s mission to provide quality healthcare for financially vulnerable individuals and families, then this MITA Systems Analyst role could be just right for you.

Molina Medicaid Solutions (MMS) provides design, development, implementation and business process outsourcing solutions to state governments for their Medicaid Management Information Systems (MMIS). MMS is well positioned to grow as the Medicaid market expands and evolves. MMS is a subsidiary of Molina Healthcare, Inc. Since its founding more than 30 years ago, Molina Healthcarehas grown into one of the leaders in providing quality healthcare to the underserved. Molina is a publicly traded company with approximately 5,500 employees and revenues of $4.6 billion, and we were recently named to the 2012 Fortune 500 list.

The Requirements

To be a good fit for this opportunity you will have:
  • 5+ years of experience in healthcare, preferably in Medicaid.
  • Experience as a business analyst and / or in operations support.
  • Skill and experience managing project scope and deadlines.
  • The ability to manage a team of analysts from a non-authoritative position.
  • Excellent client-facing skills and the ability to communicate effectively with both non-technical and technical people.
  • Strong experience with relational database concepts.
  • Medicaid industry knowledge, including knowledge of Federal regulations governing Medicare and Medicaid.
  • Familiarity with MS Office and MS Project.
  • A bachelor’s degree in Business or Computer Science, or equivalent experience.
For this role we prefer that you have understanding and experience with configuration of a core claims processing system, however, if you have a strong background in claims operations, we also encourage you to apply.

You also will need the following characteristics and competencies:
  • Strong verbal and written communication skills.
  • A self-starter mentality and excellent problem solving skills.
  • The ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.
  • The ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA).
Preferred but not required:
  • QNXT product knowledge.
  • Microsoft SQL Server knowledge. Quick question for you - click here
  • CPC certification.
  • PMP certification.
  • ICD-10 experience.
  • QNXT 3.4 or higher certification.
  • A background in consulting.
You also will need to be willing and able to travel up to 50% of the time. Your actual travel may be less, but will depend on a variety of factors. You might be in the office for several months without traveling and then spend a month on the road for a new business rollout. Our preference is that you are based in one of our Program Service Administration offices in Virginia: Glen Allen, Herndon or Virginia Beach. However, we are willing to discuss alternative Molina locations with highly qualified candidates.

The Role

You will work primarily with member claims processing and Medicaid policy. We are looking for someone who enjoys the business architect side of things, and who has member claims processing and Medicaid knowledge. You’ll help with requirements gathering and work directly with members.

Reporting to the MITA Business Architect, you will work both independently and as an analyst team leader on diverse projects of varying scope to support programs in different states. Some projects will involve supporting existing programs and others will involve rolling out new systems for programs just launching; and while some will be small and last only a couple of weeks, large projects can take up to eighteen months. Depending upon the project, teams will have between four and eight members. At any given time you may be leading and contributing to multiple projects in different phases.

Your high level objectives will include:
  • Designing, configuring, and unit testing Health PAS components across one or more business areas.
  • Assisting in the planning and conducting of requirements to COTS specification (RCS) workshops with the client to gather specific information needed to support the configured system design. Quick question for you - click here
  • Supporting Steady State systems, such as leading a small project team or working independently to implement changes, monitor outcomes or troubleshoot Health PAS processes for an operational site.
More specifically, you will:
  • Perform tasks as assigned by the MITA Business Architect.
  • Prepare prototypes, artifacts and deliverables, demonstrations of product configuration and produce meeting minutes.
  • Complete, after each workshop, sprint artifacts and unit test tasks as assigned, as well as updates to deliverable documents and other project artifacts as appropriate.
  • Work with other Health PAS Solution subject matter experts to ensure a seamless design across multiple system components.
  • Support conversion and interface activities to ensure accuracy and integrity of data.
  • Support operations / site staff in researching configuration and processing issues.
  • Mentor more junior MITA Systems Analysts on MITA business processes and project methodology.
  • Assist in the development and maintenance of deliverables and artifact templates.
Note: this description is intended to give you a general overview of the position and is not an exhaustive listing of duties and responsibilities.

About Health PAS

We take a fresh approach to claims processing

Molina offers highly effective, efficient administration outsourcing and decision support services. Unlike other vendor offerings, Health PAS was built from the ground up with leading-edge technology. We offer a feature-rich, best-of-breed, flexible, and scalable solution that has been specifically designed to address the unique needs of Medicaid and state-run healthcare programs.

Health PAS is the only commercial-off-the-shelf (COTS) software-based, MITA aligned, certified MMIS in the country and provides the advanced problem solving capabilities that are needed today. This flexible and customizable health care management solution can adapt to the new realities and changes within Medicaid while helping reduce costs.

Client benefits of Health PAS:
  • Attention and resources are focused on core business goals while administrative-oriented activities are managed to clients' guidelines and performance standards.
  • Operation and administrative service costs are reduced due to efficiencies inherent in new technology and innovative automated workflow management.
  • Costs to deliver healthcare services via preventative measures are reduced.
  • Introduction of program / plan changes and new healthcare funding models are enhanced.
  • Expansion of self-service capabilities and consumer communication through secure, robust Internet portals.
  • Compliance with the Health Insurance Portability and Accountability Act (HIPAA).

Why Molina

Professional development -- though you’ll come in with a lot of experience, there are plenty of ways to expand your skill as you learn on the job. We take a proactive approach to helping people develop, with the goal of setting you up for success and a long-term career. As we grow we’ll be looking for proven performers, and we are committed to promoting from within whenever possible.

Great environment -- in a role like this, travel is simply part of the picture. At the same time, we are dedicated to helping our team maintain work / life balance, such as offering occasional opportunities to telecommute. Our customers are grateful for the support we provide, and morale here is strong.

Right solutions, right time -- managed care is an optimal solution to the challenges that healthcare reform is intended to address, positioning Molina for ongoing success. The whole industry is shifting, and the Medicaid market will be growing even faster than others -- with Molina and MMS leading the way.

Help for those who need it most -- Molina Healthcare provides services for the under-served, and you’ll find a strong sense of mission here. Our people are proud to be able to make a difference in the quality of life for this vulnerable segment of our communities.

High-performance company -- since our founding in 1980 we have grown from a single health clinic to a multi-state industry segment leader. We continue to post strong numbers. Our 2011 premium revenues were $4.6 billion, up 15% over 2010, while annual cash flow from operations was 40% higher than in 2010, at $225.4 million. Guidance for 2012 is set at $5.8 billion in premium revenue.

Excellent compensation -- in addition to a competitive salary and bonus incentive program, we offer comprehensive benefits that include all you would expect, such as insurance and PTO, plus some pleasant surprises. For example, we provide two paid days off annually for employees to perform volunteer work at the charity of their choice, tuition reimbursement for those continuing their education, and more.

Keys to Success

To excel in this role you will maintain a strong grasp of both the business processes and the technology that supports them, and remain flexible as you take on a variety of projects. We’ll look to you to bring a customer service approach to interacting with both internal and external clients (people within the business units or contacts at the state agencies with whom we contract). You’ll need the interpersonal skills to win trust and respect from ALL your clients, bringing a solutions-oriented approach to helping them achieve their goals.

We have a solid team in place, and we’re looking for someone who can seamlessly join the group and take the same collaborative approach. When leading teams, you’ll work from the same customer service based, non-authoritative platform, relying on trust and respect as the catalysts for team member buy-in. You should be self-motivated, proactive and independent, while also having the ability to pitch in and help out where needed. In addition, you’ll need to remain adaptable as Molina grows, and as the Medicaid environment evolves.

About Molina

MMS is uniquely positioned to help state agencies meet their healthcare administration and MMIS goals. We currently hold contracts with the states of Idaho, Louisiana, Maine, New Jersey, and West Virginia, as well as a contract to provide drug rebate administration services for the Florida Medicaid program. As part of the Molina Healthcare family, MMS is the only solution of its kind implemented by a health care company with more than 30 years of experience supporting state Medicaid and other government-sponsored programs.

Molina Healthcare, Inc. is a multi-state healthcare organization with flexible-care delivery systems focused exclusively on government-sponsored healthcare programs for low-income families and individuals. We are among the most experienced managed healthcare companies serving patients who have traditionally faced barriers to quality healthcare, including individuals covered under Medicaid, and Medicare, the Healthy Families Program, state Children's Health Insurance Programs (CHIP) and other government-sponsored health insurance programs.

Quality is a top priority for Molina, and all eligible Molina health plans are accredited by the National Committee on Quality Assurance, while Molina's 24-hour nurse advice line is accredited by URAC.

Molina has operations in California, Michigan, New Mexico, Ohio, Texas, Utah, Washington, Florida, Louisiana, Idaho, Maine, New Jersey, West Virginia, Virginia, and Wisconsin. It also has 17 primary care clinics in California, two clinics in Washington, three in Virginia and one clinic in both Florida and New Mexico. Molina's corporate headquarters are in Long Beach, California.

Molina Healthcare is an Equal Opportunity Employer (EOE). M/F/V/D

Opportunity Snapshot

Bring your deep knowledge and strong experience to a lead role where you’ll expand your skill on both the business and technical sides of Medicaid, and where you’ll have the opportunity to add your voice and input to help shape the future of the company. Quick question for you - click here As a MITA Systems Analyst III you’ll be a key point of contact at client sites, gathering requirements and ensuring the job is being completed to the correct specifications by the level I and II Analysts who are doing the configuration, unit testing, and support of Health PAS, a new, high-performance, adaptive, real time solution for the modern Medicaid system.

If you are looking for an upbeat and positive environment where you’ll know your work is appreciated, and where the employees are proud to support Molina’s mission to provide quality healthcare for financially vulnerable individuals and families, then this MITA Systems Analyst role could be just right for you.

Molina Medicaid Solutions (MMS) provides design, development, implementation and business process outsourcing solutions to state governments for their Medicaid Management Information Systems (MMIS). MMS is well positioned to grow as the Medicaid market expands and evolves. MMS is a subsidiary of Molina Healthcare, Inc. Since its founding more than 30 years ago, Molina Healthcarehas grown into one of the leaders in providing quality healthcare to the underserved. Molina is a publicly traded company with approximately 5,500 employees and revenues of $4.6 billion, and we were recently named to the 2012 Fortune 500 list.

The Requirements

To be a good fit for this opportunity you will have:
  • 5+ years of experience in healthcare, preferably in Medicaid.
  • Experience as a business analyst and / or in operations support.
  • Skill and experience managing project scope and deadlines.
  • The ability to manage a team of analysts from a non-authoritative position.
  • Excellent client-facing skills and the ability to communicate effectively with both non-technical and technical people.
  • Strong experience with relational database concepts.
  • Medicaid industry knowledge, including knowledge of Federal regulations governing Medicare and Medicaid.
  • Familiarity with MS Office and MS Project.
  • A bachelor’s degree in Business or Computer Science, or equivalent experience.
For this role we prefer that you have understanding and experience with configuration of a core claims processing system, however, if you have a strong background in claims operations, we also encourage you to apply.

You also will need the following characteristics and competencies:
  • Strong verbal and written communication skills.
  • A self-starter mentality and excellent problem solving skills.
  • The ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.
  • The ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA).
Preferred but not required:
  • QNXT product knowledge.
  • Microsoft SQL Server knowledge. Quick question for you - click here
  • CPC certification.
  • PMP certification.
  • ICD-10 experience.
  • QNXT 3.4 or higher certification.
  • A background in consulting.
You also will need to be willing and able to travel up to 50% of the time. Your actual travel may be less, but will depend on a variety of factors. You might be in the office for several months without traveling and then spend a month on the road for a new business rollout. Our preference is that you are based in one of our Program Service Administration offices in Virginia: Glen Allen, Herndon or Virginia Beach. However, we are willing to discuss alternative Molina locations with highly qualified candidates.

The Role

You will work primarily with member claims processing and Medicaid policy. We are looking for someone who enjoys the business architect side of things, and who has member claims processing and Medicaid knowledge. You’ll help with requirements gathering and work directly with members.

Reporting to the MITA Business Architect, you will work both independently and as an analyst team leader on diverse projects of varying scope to support programs in different states. Some projects will involve supporting existing programs and others will involve rolling out new systems for programs just launching; and while some will be small and last only a couple of weeks, large projects can take up to eighteen months. Depending upon the project, teams will have between four and eight members. At any given time you may be leading and contributing to multiple projects in different phases.

Your high level objectives will include:
  • Designing, configuring, and unit testing Health PAS components across one or more business areas.
  • Assisting in the planning and conducting of requirements to COTS specification (RCS) workshops with the client to gather specific information needed to support the configured system design. Quick question for you - click here
  • Supporting Steady State systems, such as leading a small project team or working independently to implement changes, monitor outcomes or troubleshoot Health PAS processes for an operational site.
More specifically, you will:
  • Perform tasks as assigned by the MITA Business Architect.
  • Prepare prototypes, artifacts and deliverables, demonstrations of product configuration and produce meeting minutes.
  • Complete, after each workshop, sprint artifacts and unit test tasks as assigned, as well as updates to deliverable documents and other project artifacts as appropriate.
  • Work with other Health PAS Solution subject matter experts to ensure a seamless design across multiple system components.
  • Support conversion and interface activities to ensure accuracy and integrity of data.
  • Support operations / site staff in researching configuration and processing issues.
  • Mentor more junior MITA Systems Analysts on MITA business processes and project methodology.
  • Assist in the development and maintenance of deliverables and artifact templates.
Note: this description is intended to give you a general overview of the position and is not an exhaustive listing of duties and responsibilities.

About Health PAS

We take a fresh approach to claims processing

Molina offers highly effective, efficient administration outsourcing and decision support services. Unlike other vendor offerings, Health PAS was built from the ground up with leading-edge technology. We offer a feature-rich, best-of-breed, flexible, and scalable solution that has been specifically designed to address the unique needs of Medicaid and state-run healthcare programs.

Health PAS is the only commercial-off-the-shelf (COTS) software-based, MITA aligned, certified MMIS in the country and provides the advanced problem solving capabilities that are needed today. This flexible and customizable health care management solution can adapt to the new realities and changes within Medicaid while helping reduce costs.

Client benefits of Health PAS:
  • Attention and resources are focused on core business goals while administrative-oriented activities are managed to clients' guidelines and performance standards.
  • Operation and administrative service costs are reduced due to efficiencies inherent in new technology and innovative automated workflow management.
  • Costs to deliver healthcare services via preventative measures are reduced.
  • Introduction of program / plan changes and new healthcare funding models are enhanced.
  • Expansion of self-service capabilities and consumer communication through secure, robust Internet portals.
  • Compliance with the Health Insurance Portability and Accountability Act (HIPAA).

Why Molina

Professional development -- though you’ll come in with a lot of experience, there are plenty of ways to expand your skill as you learn on the job. We take a proactive approach to helping people develop, with the goal of setting you up for success and a long-term career. As we grow we’ll be looking for proven performers, and we are committed to promoting from within whenever possible.

Great environment -- in a role like this, travel is simply part of the picture. At the same time, we are dedicated to helping our team maintain work / life balance, such as offering occasional opportunities to telecommute. Our customers are grateful for the support we provide, and morale here is strong.

Right solutions, right time -- managed care is an optimal solution to the challenges that healthcare reform is intended to address, positioning Molina for ongoing success. The whole industry is shifting, and the Medicaid market will be growing even faster than others -- with Molina and MMS leading the way.

Help for those who need it most -- Molina Healthcare provides services for the under-served, and you’ll find a strong sense of mission here. Our people are proud to be able to make a difference in the quality of life for this vulnerable segment of our communities.

High-performance company -- since our founding in 1980 we have grown from a single health clinic to a multi-state industry segment leader. We continue to post strong numbers. Our 2011 premium revenues were $4.6 billion, up 15% over 2010, while annual cash flow from operations was 40% higher than in 2010, at $225.4 million. Guidance for 2012 is set at $5.8 billion in premium revenue.

Excellent compensation -- in addition to a competitive salary and bonus incentive program, we offer comprehensive benefits that include all you would expect, such as insurance and PTO, plus some pleasant surprises. For example, we provide two paid days off annually for employees to perform volunteer work at the charity of their choice, tuition reimbursement for those continuing their education, and more.

Keys to Success

To excel in this role you will maintain a strong grasp of both the business processes and the technology that supports them, and remain flexible as you take on a variety of projects. We’ll look to you to bring a customer service approach to interacting with both internal and external clients (people within the business units or contacts at the state agencies with whom we contract). You’ll need the interpersonal skills to win trust and respect from ALL your clients, bringing a solutions-oriented approach to helping them achieve their goals.

We have a solid team in place, and we’re looking for someone who can seamlessly join the group and take the same collaborative approach. When leading teams, you’ll work from the same customer service based, non-authoritative platform, relying on trust and respect as the catalysts for team member buy-in. You should be self-motivated, proactive and independent, while also having the ability to pitch in and help out where needed. In addition, you’ll need to remain adaptable as Molina grows, and as the Medicaid environment evolves.

About Molina

MMS is uniquely positioned to help state agencies meet their healthcare administration and MMIS goals. We currently hold contracts with the states of Idaho, Louisiana, Maine, New Jersey, and West Virginia, as well as a contract to provide drug rebate administration services for the Florida Medicaid program. As part of the Molina Healthcare family, MMS is the only solution of its kind implemented by a health care company with more than 30 years of experience supporting state Medicaid and other government-sponsored programs.

Molina Healthcare, Inc. is a multi-state healthcare organization with flexible-care delivery systems focused exclusively on government-sponsored healthcare programs for low-income families and individuals. We are among the most experienced managed healthcare companies serving patients who have traditionally faced barriers to quality healthcare, including individuals covered under Medicaid, and Medicare, the Healthy Families Program, state Children's Health Insurance Programs (CHIP) and other government-sponsored health insurance programs.

Quality is a top priority for Molina, and all eligible Molina health plans are accredited by the National Committee on Quality Assurance, while Molina's 24-hour nurse advice line is accredited by URAC.

Molina has operations in California, Michigan, New Mexico, Ohio, Texas, Utah, Washington, Florida, Louisiana, Idaho, Maine, New Jersey, West Virginia, Virginia, and Wisconsin. It also has 17 primary care clinics in California, two clinics in Washington, three in Virginia and one clinic in both Florida and New Mexico. Molina's corporate headquarters are in Long Beach, California.

Molina Healthcare is an Equal Opportunity Employer (EOE). M/F/V/D
Molina Healthcare Inc. is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.
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