Sr System Analyst, Healthcare Financials

Healthcare is complex, but paying for it shouldn"t be. Amazon Health Services is looking for a Senior System Analyst to operationalize the financial engine that powers healthcare billing. You will translate complex healthcare billing requirements into configurable system rules that ensure every encounter is billed accurately - turning manual processes into scalable, automated workflows.

In this role, you will be the bridge between business intent and system behavior - owning the logic layer that determines how charges are captured, how claims are constructed, and how payer rules are applied.

This is a high-impact role as you will impact every bill that goes out. You will transform a legacy way of working by injecting a savvy data and systems skill set, backed by Amazon"s engineering resources, customer obsession culture, and a leadership team that believes financial accuracy is the foundation of a sustainable healthcare business.

Key job responsibilities

• Partner with billing operations, finance, and clinical stakeholders to understand complex billing requirements and translate them into scalable, logical functional specifications that power the billing engine
• Define and maintain billing rules, payer-specific configurations, and charge logic that drive accurate claim generation
• Use data analysis to identify billing defects, revenue leakage patterns, and configuration gaps - prioritize work by financial impact, not squeaky-wheel urgency
• Build and maintain reporting and monitoring to validate system behavior and catch issues proactively. Maintain documentation of business rules, configuration decisions, and system dependencies
• Identify opportunities to replace manual workflows with systematic, rules-based automation - reducing human error and accelerating throughput
• Design scalable processes that accommodate new service lines, payer contracts, and business models without bespoke rework
• Work with engineering to ensure requirements are implementable, testable, and maintainable; participate in design discussions and QA validation