Healthcare Business System Analyst - Remote (Anywhere in the US)

Remote, USA Full-time Posted 2025-04-25

Healthcare Business System Analyst

Remote (Anywhere in the US) Quarterly Travel to Puerto Rico for a week is required.

Contract

Fluency in Spanish language.

As a Business System Analyst, you will be a part of an Agile team to build healthcare applications and implement new features.

Responsibilities/Requirements :
? 12+ years of experience as a Business Analyst in the healthcare payer domain
? Fluency in Spanish language.
? Analyze and document business processes, workflows, and requirements.
? Working SQL knowledge.
? Deep experience and understanding of Healthcare Payer and Claims.
? Identify AI use cases.
? Experience writing user stories with proper acceptance criteria.
? Develop and maintain comprehensive documentation, including business requirements, process flows, and use cases.
? Facilitate meetings and workshops with cross-functional teams to gather and validate requirements.
? Ensure compliance with healthcare regulations and standards (e.g., HIPAA, ACA).
? Provide insights and recommendations based on data analysis to support decision-making. Lead/mentor junior business analysts and team members if needed.
? Stay current with industry trends and best practices in healthcare and payer systems.

Educational Qualifications: - ? Bachelor's degree, preferably in Computer Science or similar technical discipline .

Mandatory Skills/Experience :-
? Expertise in core SQL
? Experience with HRP
? Business Systems Analysis background
? Experience working in the Payer domain
? Knowledge of Healthcare Claims transactions

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