Collaborate with business stakeholders to gather and analyze requirements
Translate business needs into functional and technical specifications
Partner with internal teams to ensure accurate solution delivery
Support User Acceptance Testing (UAT) and production issue analysis by identifying root causes and corrective actions
Perform advanced system testing and validate data accuracy
Document technical requirements, business workflows, data mappings, standard operating procedures, and integration points
Lead complex end-to-end business and technical analysis for workflows and enterprise applications
Ensure compliance with Protected Health Information (PHI)/ Personally Identifiable Information (PII) handling, Health Insurance Portability and Accountability Act (HIPAA), and healthcare data security standards
Ensure alignment with Agile delivery frameworks and Continuous Integration and Continuous Delivery (CI/CD) practices
Provide subject matter expertise on Health Plan systems and processes
Monitor and troubleshoot complex system issues and coordinate resolution
Support staff by assisting with troubleshooting difficult issues related to deployment
Evaluate and recommend system enhancements, configurations, integrations, and data flows to improve operational performance
Apply subject matter expertise in evaluating business operations and processes
Identify areas where technical solutions would improve business performance
Consult across business operations, provide mentorship, and contribute specialized knowledge
Ensure that the facts and details are correct so that the program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices
Provide training and recommend process improvements as needed
Perform other duties as assigned

Requirements

Bachelor's Degree in Computer Science or Related Field
In lieu of degree, equivalent education and/or experience may be considered
At least 4 years of experience as a System Analyst, Business Analyst, or Quality Assurance Engineer
Experience with claims, enrollment, or provider systems preferred
Excellent analytical, problem-solving, and documentation skills
Proficient in Agile methodology
Excellent verbal, written communication and presentation skills
Strong understanding of data mapping and data quality
Ability to create process diagrams, data flows, and technical documentation
Ability to manage multiple priorities in a fast-paced environment
Knowledge in SQL, Jira, Confluence, and healthcare compliance preferred
Required Training: Training in Agile/Scrum and system analysis best practices

Benefits

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

system analysisbusiness analysisquality assurancedata mappingdata qualityprocess diagramsdata flowstechnical documentationAgile methodologyUAT

Soft Skills

analytical skillsproblem-solvingdocumentation skillsverbal communicationwritten communicationpresentation skillsmentorshiporganizational skillscollaborationtroubleshooting

Certifications

Bachelor's Degree in Computer ScienceAgile/Scrum trainingsystem analysis best practices training