Senior Business System Analyst

About the Role

We are seeking an experienced Business Systems Analyst with strong healthcare domain expertise to support payer-side business and technology initiatives. The analyst will work closely with business stakeholders, product owners, and technical teams to translate complex healthcare business requirements into clear functional and system specifications across multiple core domains including Claims, Enrollment, Membership, Benefits, Provider, and Billing.

Skills

• Business Systems Analyst experienced in healthcare domains, including Claims, Enrollment, Membership, Benefits, Provider, and Billing

Responsibilities

• Analyze and document business and system requirements across healthcare payer domains such as Claims, Enrollment, Membership, Benefits, Provider Management, and Billing
• Collaborate with business users, SMEs, and technical teams to understand end-to-end healthcare workflows and operational processes
• Translate business needs into functional specifications, system requirements, user stories, use cases, process flows, and acceptance criteria
• Support system design discussions by validating requirements, identifying gaps, and ensuring alignment with business objectives
• Perform impact analysis for changes across upstream and downstream systems
• Participate in Agile ceremonies including backlog grooming, sprint planning, and sprint reviews
• Support UAT planning and execution, including test scenario creation, defect triage, and validation of fixes
• Ensure compliance with healthcare regulations and standards (e.g., HIPAA, EDI transactions such as 834, 837, 835 – knowledge preferred)
• Work closely with data, integration, and QA teams to support requirement clarification and delivery readiness

Qualifications

• Bachelor of Computer Science

Pay

$120,000 - $130,000 per year

Benefits

• Discretionary Annual Incentive
• Comprehensive Medical Coverage: Medical & Health, Dental & Vision
• Disability Planning & Insurance
• Pet Insurance Plans
• Maternal & Parental Leaves
• Auto & Home Insurance
• Identity Theft Protection
• Commuter Benefits
• Certification & Training Reimbursement
• Vacation, Time Off, Sick Leave & Holidays
• Legal Assistance
• 401K Plan
• Performance Bonus
• College Fund
• Student Loan Refinancing