Business Systems Analyst - Healthcare

Business Systems Analyst - Healthcare

Minneapolis, MN (Hybrid Mode)

Contract

Key Responsibilities

Business Analysis & Solution Design

• Elicit, analyze, and document complex business, operational, and system requirements
• Translate business problems into functional requirements, workflows, process models, and user stories
• Facilitate requirements workshops with business and technology stakeholders
• Support end-to-end solution design and implementation activities
• Validate that delivered solutions meet business objectives and acceptance criteria

Payment Integrity & Healthcare Domain Analysis

• Analyze healthcare claims, provider billing patterns, member utilization, and payment integrity opportunities
• Support initiatives focused on preventing improper payments and reducing financial leakage
• Collaborate with SMEs to understand clinical and non-clinical claim scenarios
• Perform root cause analysis and identify process improvement opportunities

AI & Intelligent Automation Enablement

• Translate business risks and operational challenges into AI-ready business requirements
• Define business rules, signals, thresholds, and intervention logic supporting AI-enabled workflows
• Partner with Data Science teams to define model inputs, outputs, business validation criteria, and success measures
• Support Human-in-the-Loop review processes and AI governance practices
• Participate in workflow automation and intelligent decision-support initiatives
• Ensure AI-driven solutions remain explainable, auditable, and aligned with business objectives

Data & Analytics Support

• Analyze large healthcare datasets to identify trends, anomalies, and improvement opportunities
• Collaborate with analytics teams to define metrics, KPIs, and reporting requirements
• Support business validation and testing efforts
• Leverage data to support strategic decision making

Stakeholder Engagement

• Serve as liaison between business, operations, product, engineering, data science, and analytics teams
• Facilitate discussions, alignment sessions, and solution reviews
• Present recommendations and findings to leadership and stakeholders
• Drive consensus across cross-functional teams

Preferred Experience

• 10+ years of Business Analysis / Business Systems Analysis experience

• Strong U.S. Healthcare experience working with all Lines of businesses

• Payment Integrity, Claims, FWA/Revenue Cycle Management experience

• Experience supporting AI, advanced analytics, or intelligent automation initiatives

• Healthcare claims processing and adjudication knowledge

• Knowledge of lifecycle of a claim is a "MUST". Claims processing is an added advantage

• Agile delivery experience

• SQL and data analysis capabilities

• Experience working with Databricks, Snowflake, Tableau, or Power BI preferred

Diverse Lynx LLC is an Equal Employment Opportunity employer. All qualified applicants will receive due consideration for employment without any discrimination. All applicants will be evaluated solely on the basis of their ability, competence and their proven capability to perform the functions outlined in the corresponding role. We promote and support a diverse workforce across all levels in the company.