Business Systems Analyst
Pavan DabbakutiUnited StatesSENIORPosted 14d ago
Healthcare DomainHealthcare Claims LifecycleClaims ProcessingClaims AdjudicationPayment IntegrityFraud, Waste & AbuseRevenue Cycle ManagementBusiness AnalysisBusiness Systems AnalysisAIAdvanced AnalyticsIntelligent AutomationSQLData AnalysisAgile DeliveryDatabricksSnowflakeTableauPower BI
About the Role
We are looking for a Business Systems Analyst with extensive experience in the healthcare industry. This role requires deep knowledge of U.S. healthcare systems and claims processing.
Key Responsibilities
• Analyze and improve healthcare claims lifecycle processes
• Ensure payment integrity and address fraud, waste, and abuse
• Manage revenue cycle operations
• Perform business analysis and systems analysis
• Implement AI and advanced analytics solutions
• Utilize SQL and data analysis skills for healthcare data
• Lead agile delivery initiatives
Requirements
• 10+ years of experience in U.S. healthcare domain
• Strong understanding of healthcare claims lifecycle
• Experience with claims processing and adjudication
• Knowledge of payment integrity and FWA
• Revenue Cycle Management experience
• Business Analysis and Business Systems Analysis skills
• AI, Advanced Analytics, and Intelligent Automation experience
• Strong SQL and Data Analysis skills
• Agile Delivery experience
Benefits
• Contract position with W2 employment