We are seeking a Business Systems Analyst (BSA) with healthcare payer experience to support member enrollment, eligibility, benefits, and member operations initiatives. The role involves gathering requirements, analyzing business processes, working with stakeholders, and helping deliver technology solutions that improve healthcare member services.
Duties
Gather, analyze, and document business and functional requirements.
Translate business needs into user stories, process flows, and functional specifications.
Support member enrollment, eligibility, benefits administration, and member operations.
Perform process mapping, gap analysis, data analysis, and data mapping.
Collaborate with business, operations, QA, and technology teams.
Analyze APIs, interfaces, integrations, and EDI transactions.
Perform SQL-based data validation and support issue resolution.
Support UAT, defect tracking, and business sign-off activities.
Ensure requirements are complete, traceable, and aligned with business goals.
Required
5+ years of Business Analyst or Business Systems Analyst experience.
Healthcare Payer domain experience.
Experience with Member Enrollment, Eligibility, Benefits Administration, and Member Operations.
Knowledge of Medicare, Medicaid, and ACA Exchange programs.
Strong requirement gathering, documentation, process mapping, and gap analysis skills.
Experience with SQL, data mapping, API/interface analysis, and EDI transactions.
Strong stakeholder management and communication skills.
Desired
Understanding of end-to-end healthcare member lifecycle and payer systems.
Experience with Agile/Scrum methodologies.
Knowledge of Jira and Confluence.
Understanding of healthcare interoperability and data integration concepts.
Experience working with cross-functional teams.
Exposure to HL7, FHIR, healthcare analytics, cloud, or AI-driven healthcare solutions.
Numbers & Facts
Location
Irving, TX (Remote)
Skills
Acceptance Testingunmatched
Agile Programming Methodologiesunmatched
Analysis Skillsunmatched
Application Programming Interface (API)unmatched
Artificial Intelligence (AI)unmatched
Atlassian JIRAunmatched
Bug Tracking/Defect Managementunmatched
Business Analysisunmatched
Business Operationsunmatched
Business Processesunmatched
Business Solutionsunmatched
Cloud Computingunmatched
Communication Skillsunmatched
Compensation and Benefitsunmatched
Cross-Functionalunmatched
Customer Experienceunmatched
Data Analysisunmatched
Data Mappingunmatched
Data Qualityunmatched
Electronic Data Interchange (EDI)unmatched
Functional Requirements Document (FRD)unmatched
Gap Analysisunmatched
HL7 (Health Level 7)unmatched
Healthcareunmatched
Interoperabilityunmatched
Medicaidunmatched
Medicareunmatched
Microsoft Exchange Serverunmatched
Problem Solving Skillsunmatched
Process Analysisunmatched
Process Flowunmatched
Quality Assuranceunmatched
Requirements Managementunmatched
SQL (Structured Query Language)unmatched
Scrum Project Management and Software Developmentunmatched
Systems Analysisunmatched
Technical Deliveryunmatched
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