Jobs → Data & Analytics → Healthcare Business Systems Analyst

About the Role We are looking for an experienced Healthcare Business Systems Analyst to join our team at Alchemy Software Solutions. This role focuses on analyzing healthcare data and systems to improve business processes. Key Responsibilities • Analyze healthcare payer and MCO domain requirements • Work with Medicare and healthcare data • Implement HEDIS and NCQA quality measurements • Utilize Azure and Azure Databricks for data processing • Perform advanced SQL and data analysis • Manage healthcare data integration and mapping • Handle claims, eligibility, member, and provider data • Process authorization, pharmacy, and clinical data • Conduct UAT, data validation, and reconciliation • Create functional documentation and user stories Requirements • 12+ years of experience in healthcare systems analysis • Strong knowledge of healthcare payer and MCO domain • Experience with Medicare and healthcare data • Proficiency in HEDIS and NCQA quality measurements • Experience with Azure and Azure Databricks • Advanced SQL and data analysis skills • Healthcare data integration and mapping experience • Knowledge of claims, eligibility, member, and provider data • Experience with authorization, pharmacy, and clinical data • UAT, data validation, and reconciliation experience • Functional documentation and user stories creation skills • Experience with Power BI and Tableau • Knowledge of HL7 and FHIR • Understanding of CMS Interoperability • Experience with Agile and Scrum methodologies