Business Systems Analyst
Manu pratap SinghUnited StatesSENIORPosted 54m ago
Business AnalysisBusiness Systems AnalysisHealthcareHealthcare ClaimsPayment IntegrityPayment ProcessesRCMClaims LifecycleClaims AdjudicationFWARoot Cause AnalysisProcess ImprovementAI/MLAdvanced AnalyticsIntelligent AutomationRequirements GatheringUser StoriesAgileStakeholder ManagementSQLHealthcare Data AnalysisDatabricksSnowflakeTableauPower BI
About the Role
We are seeking a Business Systems Analyst with extensive experience in the healthcare domain to join our team. This role involves analyzing business systems and processes within the healthcare industry.
Key Responsibilities
• Analyze and improve healthcare business systems and processes
• Manage requirements gathering and user stories
• Lead stakeholder management and Agile delivery
• Perform healthcare data analysis using SQL and other tools
• Contribute to AI/ML and intelligent automation initiatives
Requirements
• 10+ years of Business Analysis / Business Systems Analysis experience
• Strong U.S. healthcare domain experience across multiple lines of business
• Hands-on experience with Healthcare Claims, Payment Integrity, Payment Processes, and RCM
• Strong understanding of the end-to-end claims lifecycle and claims adjudication
• Experience with FWA (Fraud, Waste & Abuse), root cause analysis, and process improvement
• Proficiency in SQL and healthcare data analysis
Preferred Skills
• Databricks, Snowflake, Tableau, or Power BI