Senior Business Systems Analyst

Job Summary

Driving collaboration with business and IT stakeholders, the full-time Senior Business Systems Analyst will translate complex business requirements into functional specifications for Payment Integrity solutions while working remotely.

Key responsibilities

• Elicit, analyze, and document business and functional requirements for Payment Integrity solutions, ensuring alignment with strategic goals
• Partner with cross-functional teams to translate business needs into clear, testable requirements and maintain traceability in project management tools
• Analyze claims and vendor data to investigate issues and support root-cause analysis for production defects

Required qualifications

• Bachelor's degree in a quantitative or business field, or equivalent experience
• 4-6 years of business systems analysis experience, preferably in healthcare payer or Payment Integrity environments
• Strong knowledge of claims adjudication and coding concepts, with experience in systems like Facets or ClaimsXten being a plus
• Hands-on data analysis skills, particularly in SQL, with knowledge of Power BI or Excel preferred
• Experience with Agile methodologies and software development life cycles