Senior Business Systems Analyst – Provider Network Pricing

E-Verify Program

. Provide Network Pricing knowledge and support in system/application and procedural issues to the business and IT.

Posted 5/20/2026full-timeKentucky, North Carolina, South Carolina, Wisconsin, Wyoming • 🇺🇸 United StatesSenior💰 $89,174 - $142,679 per yearWebsite

About the role

Key responsibilities & impact

Provide Network Pricing knowledge and support in system/application and procedural issues to the business and IT.
Use judgment and initiative to review, analyze and develop solutions and applicable business processes for business systems while identifying and quantifying the business impact of those solutions.
Provide systems (Facets, NetworX, Optum) analysis expertise and regularly consider the business implications of the application of technology to the current business environment.
Coordinate ongoing user support for ad hoc questions, inquiries, and service requests.
Ensure efficiency of reporting and data tools for supported business area use and for trend analysis.
Work collaboratively on projects and initiatives with the business and IT to test and implement long-term solutions by eliciting and documenting business requirements.

Requirements

What you’ll need

Bachelor's degree or advanced degree (where required)
5+ years of experience in related field
In lieu of degree, 7+ years of experience in related field
Intermediate expertise with Facets, NetworX, and Optum
Strong PC skills with intermediate expertise with Microsoft Excel
Blue Cross NC claims processing, audit, and pricing experience
Understanding of provider contractual terms regarding pricing
Understanding of UB04 and HCFA1500 billing practices
Strong interpersonal skills.

Benefits

Comp & perks

Medical, dental, and vision coverage along with numerous health and wellness programs.
Parental leave and support plus adoption and surrogacy assistance.
Career development programs and tuition reimbursement for continued education.
401k match including an annual company contribution.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

network pricingbusiness process analysisdata analysisreporting efficiencybusiness requirements documentationclaims processingauditpricingbilling practicesprovider contractual terms

Soft Skills

judgmentinitiativecollaborationinterpersonal skills

Certifications

Bachelor's degreeadvanced degree