Business Systems Analyst IV, Benefits Coding

NJM Insurance Group

Business Systems Analyst IV leading coding solutions for health insurance enterprise projects. Validating business requirements, creating work estimates, and documenting project progress in Newark, NJ.

Posted 4/23/2026full-timeRemote • New Jersey • 🇺🇸 United StatesMid-LevelSenior💰 $97,800 - $133,455 per yearWebsite

About the role

Key responsibilities & impact

Lead the process of identifying and recommending coding solutions for enterprise projects and complex benefit coding problems
Validate and approve business requirements
Understand Mandates, Product Development coding grids and BRDs and interpret what is required for benefit updates
Create and deliver work estimates to Project Managers
Document project one-pager dashboards with schedule, budget, blockers, progress
Assist with claims testing scenarios
Document standard operating procedures

Requirements

What you’ll need

High School Diploma/GED required
Bachelor degree preferred or relevant experience in lieu of degree
6-8 years of related IT work experience preferably in the health insurance industry
Needs strong product and benefit knowledge
Prefer experience in benefit coding via HRBK (Via NASCO) or Benefact.
Needs strong claims processing skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

coding solutionsbenefit codingclaims processingbusiness requirements validationproject documentationwork estimationstandard operating procedures

Soft Skills

leadershipcommunicationorganizational skills

Certifications

High School DiplomaGED