Medicare Business Systems Analyst

Stefanini Group is hiring!

Stefanini is looking for a Medicare Business Systems Analyst 100% Remote

For quick Apply, please reach out to Sudhanshu Shrivastava: /



W2 candidates only!





100% Remote

Expenses allowed: no

Client Equipment to be provided.



Job Summary:

We are a large Medicare Advantage (MAPD) health plan undergoing a major core system transformation, migrating from TriZetto Facets to Epic Tapestry effective August 1, 2026. We are seeking an experienced Contract Business Systems Analyst to backfill a key team member during maternity leave and to support critical initiatives during system migration and Annual Enrollment Period (AEP) readiness.

This role will be embedded within our Medicare Business Systems Analyst team and will partner closely with business, IT, and vendor stakeholders to ensure continuity of operations, accurate requirements delivery, and successful testing and implementation during a high impact period.



Essential Functions:Serve as a Business Systems Analyst supporting Medicare Advantage operational processes during Epic Tapestry migration and AEP preparationElicit, analyze, and document business and technical requirements related to:Medicare enrollment and eligibilityPremium billing and payment processingMember fulfillment (ANOC, EOC, Formularies, Member Letters, etc.)Translate business needs into clear functional and technical requirements for development teamsCollaborate closely with developers and technical teams to clarify requirements, answer questions, and support solution designCreate, maintain, and execute test cases and test scenarios to validate system changes and ensure business requirements are metSupport functional testing, integration testing, and user acceptance testing (UAT); document defects and track resolutionManage and track work in JIRA, including user stories, acceptance criteria, assumptions, and status reportingDevelop and maintain process flows and current/future state documentation using VisioSupport system conversion activities including gap analysis, workflow changes, and operational readinessParticipate in Agile ceremonies (daily stand ups, sprint planning, backlog refinement, retrospectives)Identify risks, issues, and dependencies related to migration and AEP timelines and escalate as appropriate



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Required Qualifications:5+ years of experience as a Business Analyst or Business Systems Analyst in a MAPD PlanStrong experience writing, executing, and managing test cases and supporting UATDemonstrates experience working with developers to provide technical and functional requirementsStrong hands on experience working in JIRA (user stories, backlogs, sprint tracking, defect management)Experience creating process documentation and workflow diagrams using VisioSolid understanding of Medicare Advantage operations, including:MAPD Enrollment and eligibilityMAPD Premium billing and payment processingMAPD Member fulfillment processesExperience working in Agile delivery environmentsStrong analytical, documentation, and stakeholder communication skillsAbility to operate independently and ramp up quickly in a complex, regulated healthcare environment



Preferred Qualifications:Experience with Epic Tapestry (payer platform)Prior experience supporting TriZetto Facets/EAM/TCS or similar core administration platformsExperience supporting system migrations or large scale system conversionsFamiliarity with CMS regulations impacting Medicare Advantage operationsPrior experience supporting Annual Enrollment Period (AEP) activities or peak enrollment cycles





Listed salary ranges may vary based on experience, qualifications, and local market. Also, some positions may include bonuses or other incentives.



Stefanini takes pride in hiring top talent and developing relationships with our future employees. Our talent acquisition teams will never make an offer of employment without having a phone conversation with you. Those face-to-face conversations will involve a description of the job for which you have applied. We also speak with you about the process including interviews and job offers.



About Stefanini Group:

The Stefanini Group is a global provider of offshore, onshore and near shore outsourcing, IT digital consulting, systems integration, application, and strategic staffing services to Fortune 1000 enterprises around the world. Our presence is in countries like the Americas, Europe, Africa, and Asia, and more than four hundred clients across a broad spectrum of markets, including financial services, manufacturing, telecommunications, chemical services, technology, public sector, and utilities. Stefanini is a CMM level 5, IT consulting company with a global presence. We are CMM Level 5 company.