Business Analyst Healthcare (Claims & Payment Integrity)

We are seeking a Senior Healthcare Business Analyst with 10+ years of Business/Systems Analysis experience and strong U.S. healthcare payer experience across Commercial, Medicare & Retirement, Community & State, Rx, Dental, and Vision. Candidates must have strong knowledge of the healthcare claims lifecycle, claims processing/adjudication, Payment Integrity, FWA, and Revenue Cycle Management. Experience supporting AI, advanced analytics, or intelligent automation initiatives is preferred, along

Required Experience 10+ years of Business Analysis / Business Systems Analysis experience Strong U.S. Healthcare experience working with all Lines of businesses Payment Integrity, Claims, FWA/Revenue Cycle Management experience Experience supporting AI, advanced analytics, or intelligent automation initiatives Healthcare claims processing and adjudication knowledge o Knowledge of lifecycle of a claim is a MUST. Claims processing is an added advantage Agile delivery experience SQL and data analy

Job Description: Required Experience Deep expertise across Commercial (E&I), Medicare & Retirement (M&R), Community & State (C&S), Rx, Dental, and Vision.10+ years of Business Analysis / Business Systems Analysis experienceStrong U.S. Healthcare experience working with all Lines of businessesPayment Integrity, Claims, FWA/Revenue Cycle Management experienceExperience supporting AI, advanced analytics, or intelligent automation initiativesHealthcare claims processing and adjudication knowledgeKno

RESPONSIBILITIES: Kforce has a client that is seeking a Healthcare Operations Analyst in Jacksonville, FL. Summary: We are seeking a Healthcare Operations Analyst to transform complex clinical, operational, workforce, and business data into meaningful insights that drive informed decision-making and organizational performance. This role serves as a key partner to leadership, operational teams, and healthcare professionals by analyzing data, identifying trends, and developing reporting and analy