Senior Business Systems Analyst
Right to Hire
Hybrid (requires at least 2 consecutive days per month onsite in Newark, NJ)
Position Overview
We are seeking a highly experienced Senior Business Systems Analyst with deep healthcare payer expertise in Membership, Enrollment, Billing, and Premium Payments. As a Senior Business Systems Analyst, you will play a critical role in supporting enterprise modernization initiatives, focusing on migrating legacy membership systems to modernized enrollment platforms.
This position requires a strong analytical professional who can independently write complex SQL queries, interpret legacy data structures, and contribute strategically to modernization discussions. The ideal candidate for the Senior Business Systems Analyst role is articulate, detail-oriented, and comfortable working across business and technical stakeholders.
Key Responsibilities
- Gather, analyze, and document business and functional requirements for Membership, Enrollment, Billing, and Premium Payments.
- Support migration initiatives from legacy systems to modern enrollment platforms.
- Lead or actively contribute to Joint Application Design (JAD) sessions.
- Analyze legacy data structures and validate transformation and mapping logic.
- Write and execute complex SQL queries to analyze datasets, validate joins, and ensure data integrity.
- Partner with data integration teams to support data transformation and migration efforts.
- Provide subject matter expertise in premium payment processing, member ID card systems, and enrollment and billing workflows.
- Identify process gaps and recommend improvements during modernization initiatives.
- Create and maintain BRDs, FRDs, and functional specifications.
Required Qualifications
- 5–8 years of healthcare payer experience.
- Strong expertise in Membership & Enrollment, Billing operations, Premium Payments, and Member ID systems.
- Hands-on SQL experience with the ability to write complex queries and perform advanced joins.
- Experience supporting legacy mainframe or green screen environments.
- Strong documentation skills, including BRDs, FRDs, and functional specifications.
- Ability to clearly articulate requirements to both business and technical audiences.
System Experience (Preferred but Not Required):
- Experience with enterprise enrollment platforms such as Nasco.
- Exposure to legacy mainframe membership systems.
- Familiarity with data integration tools such as Informatica.
Preferred Qualifications
- Experience supporting healthcare payer modernization initiatives.
- CBAP certification or equivalent business analysis credential.
- Experience collaborating with third-party vendor teams.
- Experience working within large regional or national healthcare payer organizations.