• Build and own the full lifecycle of KPIs for the Member Financial Services department, including data sourcing, modeling, and reporting. • Develop dashboards, automated reports, and data products that provide clear visibility into performance, member behavior, service efficiency, and portfolio trends. • Ensure KPI relevance and alignment to organizational and department goals by continuously refining metrics as business needs evolve. • Conduct deep-dive analyses on member interactions, product utilization, operational patterns, and financial performance to monitor performance and identify trends, opportunities, and risks. • Perform exploratory and statistical analysis using large, complex datasets to uncover actionable insights. • Provide strategic recommendations that influence business planning, operational improvements, and member experience enhancements. • Partner with frontline leadership to establish KPIs and scorecards that measure sales productivity, consultative behaviors, and relationship growth initiatives.

Job Description Job Summary The Senior Claims Research Analyst provides senior-level support for claims processing and claims research. The Sr. Analyst, Claims Research serves as a senior-level subject matter expert in claims operations and research, leading the most complex and high-priority claims projects. This role involves advanced root cause analysis, regulatory interpretation, project management, and strategic coordination across multiple departments to resolve systemic claims processing issues. The Sr. Analyst provides thought leadership, develops remediation strategies, and ensures timely and accurate project execution, all while driving continuous improvement in claims performance and compliance. Additionally, the Sr. Analyst will represent the organization internally and externally in meetings, serving as a key liaison to communicate findings and resolution plans effectively. Job Duties - Uses advanced analytical skills to conduct research and analysis for issues, requests, and inquiries of high priority claims projects - Assists with reducing re-work by identifying and remediating claims processing issues - Locate and interpret regulatory and contractual requirements - Expertly tailors existing reports or available data to meet the needs of the claims project - Evaluates claims using standard principles and applicable state specific policies and regulations to identify claims processing error - Act as a senior claims subject matter expert, advising on complex claims issues and ensuring compliance with regulatory and contractual requirements. - Leads and manages major claims research projects of considerable complexity, initiated through provider inquiries, complaints, or internal audits. - Conducts advanced root cause analysis to identify and resolve systemic claims processing errors, collaborating with multiple departments to define and implement long-term solutions. - Interprets regulatory and contractual requirements to ensure compliance in claims adjudication and remediation processes. - Develops, tracks, and / or monitors remediation plans, ensuring claims reprocessing projects are completed accurately and on time. - Provides in-depth analysis and insights to leadership and operational teams, presenting findings, progress updates, and results in a clear and actionable format. - Takes the lead in provider meetings, when applicable, clearly communicating findings, proposed solutions, and status updates while maintaining a professional and collaborative approach. - Proactively identifies and recommends updates to policies, SOPs, and job aids to improve claims quality and efficiency. - Collaborates with external departments and leadership to define claims requirements and ensure alignment with organizational goals. Job Qualifications REQUIRED QUALIFICATIONS: - 5+ years of experience in medical claims processing, research, or a related field. - Demonstrated expertise in regulatory and contractual claims requirements, root cause analysis, and project management. - Advanced knowledge of medical billing codes and claims adjudication processes. - Strong analytical, organizational, and problem-solving skills. - Proficiency in claims management systems and data analysis tools - Excellent communication skills, with the ability to tailor complex information for diverse audiences, including executive leadership and providers. - Proven ability to manage multiple projects, prioritize tasks, and meet tight deadlines in a fast-paced environment. - Microsoft office suite/applicable software program(s) proficiency PREFERRED QUALIFICATIONS: - Bachelor's Degree or equivalent combination of education and experience - Project management - Expert in Excel and PowerPoint - Familiarity with systems used to manage claims inquiries and adjustment requests - SQL - Salesforce 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.

• Analyze operational workloads across support, administration, release, and project activities to understand how work is performed. • Review intake paths, approval steps, handoffs, and sequencing of work to identify inefficiencies or unnecessary manual effort. • Identify outcomes currently achieved through repetitive or manual processes. • Determine where human involvement is required and where it can be reduced or removed. • Redesign workflows to achieve required outcomes through automation, defaults, self-service, or alternative execution models. • Eliminate redundant approval steps, intake paths, manual checks, and parallel processes. • Pilot redesigned approaches and evaluate impact before broader implementation. • Partner with technical teams to define automation or self-service solutions. • Present clear recommendations that require leadership decisions regarding continuation or redesign of existing work patterns. • Establish and maintain a prioritized backlog of workflow redesign opportunities based on operational impact. • Monitor redesigned workflows to ensure legacy manual processes do not re-emerge.

Coupa makes margins multiply through its community-generated AI and industry-leading total spend management platform for businesses large and small. Coupa AI is informed by trillions of dollars of direct and indirect spend data across a global network of 10M+ buyers and suppliers. We empower you with the ability to predict, prescribe, and automate smarter, more profitable business decisions to improve operating margins. Why join Coupa? 🔹 Pioneering Technology: At Coupa, we're at the forefront of innovation, leveraging the latest technology to empower our customers with greater efficiency and visibility in their spend. 🔹 Collaborative Culture: We value collaboration and teamwork, and our culture is driven by transparency, openness, and a shared commitment to excellence. 🔹 Global Impact: Join a company where your work has a global, measurable impact on our clients, the business, and each other. Learn more on Life at Coupa blog and hear from our employees about their experiences working at Coupa. The Impact of a Sr. FP&A Analyst at Coupa: Coupa Software is seeking a motivated and results-driven Sr. Financial Analyst to join our G&A Financial Planning & Analysis team. This role will support various functions across the General & Administrative expense group, including Finance, Accounting, HR, Legal, and IT amongst others. What You'll Do: - Financial planning and analysis for G&A. - Conduct in-depth financial analysis to identify trends, opportunities, and potential issues. - Develop and maintain complex financial models. - Perform variance analysis to understand deviations from budgets and forecasts. - Assist in the development and implementation of financial plans and budgets. Prepare financial projections and forecasts. - Prepare financial reports and presentations for senior management and stakeholders. What You Will Bring to Coupa: - 3-5 years of experience in financial planning and analysis, with a track record of partnering with business leaders to drive performance, preferably in a SaaS environment - Strong analytical, problem-solving, and decision-making skills, with the ability to translate complex financial data into actionable insights - Excellent communication and interpersonal skills, with the ability to influence and build consensus among senior leadership - Proficient in financial modeling, forecasting, and performance management tools (Excel and Anaplan preferred) - Enterprise SaaS experience is highly preferred Coupa complies with relevant laws and regulations regarding equal opportunity and offers a welcoming and inclusive work environment. Decisions related to hiring, compensation, training, or evaluating performance are made fairly, and we provide equal employment opportunities to all qualified candidates and employees. Please be advised that inquiries or resumes from recruiters will not be accepted. By submitting your application, you acknowledge that you have read Coupa’s Privacy Policy and understand that Coupa receives/collects your application, including your personal data, for the purposes of managing Coupa's ongoing recruitment and placement activities, including for employment purposes in the event of a successful application and for notification of future job opportunities if you did not succeed the first time. You will find more details about how your application is processed, the purposes of processing, and how long we retain your application in our Privacy Policy.