Systems Analyst II

Job Title: Systems Analyst II

Location:
Detroit, MI (Hybrid – Onsite 2 Days Per Week)

Schedule:
Monday–Friday, Standard Business Hours

Type:
Contract, W2 Only (1 Year Long Open-Ended)

Pay Rate:
$43–$46/hr

Summary

We are seeking a Systems Analyst II to support the delivery and implementation of National Health Care Reform benefit policy changes within a complex healthcare environment. This role is responsible for business requirements assessment, detailed systems analysis, benefit configuration, claims testing, validation, and implementation of benefit enhancements. The ideal candidate will have strong NASCO experience, healthcare claims knowledge, and the ability to analyze business requirements and translate them into system solutions.

Key Responsibilities

• Support the implementation of benefit policy changes for multiple healthcare customers.
• Analyze and assess business requirements, system enhancements, and regulatory changes.
• Perform detailed systems analysis within the NASCO benefits and claims processing environment.
• Create and maintain benefit file Customer Service Requests (CSRs).
• Develop comprehensive test cases based on system requirements and benefit design specifications.
• Execute claims testing, validate system changes, and ensure accurate implementation of enhancements.
• Interpret and analyze business documentation including BDDs, SERs, and PCRs.
• Collaborate with business stakeholders, developers, testers, and project teams to ensure successful delivery of benefit changes.
• Identify, document, and communicate system impacts, risks, and recommendations.
• Support troubleshooting, issue resolution, and post-implementation validation activities.
• Maintain detailed documentation of requirements, testing results, and implementation activities.
• Ensure adherence to quality standards while delivering projects within established timelines.

Required Qualifications

• Must have 2–3 years of NASCO system experience.
• Strong knowledge of benefit file configuration and claims testing within NASCO.
• Proven experience performing benefit file system analysis.
• Ability to create detailed test cases based on system requirements.
• Experience writing and maintaining benefit file CSRs.
• Ability to read and interpret business documents, including:
  • Business Design Documents (BDDs)
  • System Enhancement Requests (SERs)
  • Project Change Requests (PCRs)
• Working knowledge of NASCO, BFAST, BFM, and related NASCO application tools.
• Knowledge of medical insurance claims processing.
• Strong written and verbal communication skills.
• Demonstrated organizational skills with exceptional attention to detail.
• Ability to work independently while managing multiple priorities.
• Self-starter with a strong sense of accountability and commitment to delivering high-quality results.
• Proficiency with Microsoft Office Suite, including:
  • Word
  • Excel
  • PowerPoint
  • Project
• Minimum 3 years of relevant technical work experience.

Preferred Qualifications

• Experience supporting BCBSM claims, benefits, or healthcare-related projects.
• Advanced proficiency with BFAST and Benefit File tools.
• Experience working with SharePoint.
• 3+ years of healthcare systems experience.
• Experience supporting large-scale healthcare benefit implementations.
• Bachelor's degree in Information Systems, Business, Healthcare Administration, or a related field preferred.