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Business Systems Analyst (Healthcare Payer/Member Domain)

Remote • Posted 1 hour ago • Updated 1 hour ago

Contract W2

Contract Corp To Corp

Contract Independent

12 Months

No Travel Required

Remote

Depends on Experience

Fitment

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Job Details

Skills

✅ Strong Healthcare Payer/Member domain experience ✅ Medicare/Medicaid/ACA expertise ✅ Hands-on SQL and Data Mapping skills ✅ Experienced in Requirements Gathering
UAT
and Stakeholder Management ✅ Familiar with APIs
EDI
and Agile environments

Summary

Role: Business Systems Analyst (Healthcare Payer/Member Domain)
Experience: 10+ years
Location: Remote (USA)

Must-Have Domain Skills

Healthcare Payer / Member Domain
Member Enrollment & Eligibility
Benefits Administration
Medicare, Medicaid, ACA Exchange Programs
Member Operations

Business Analysis Skills

Requirement Gathering & Analysis
BRD/FRD Documentation
Functional Specifications & User Stories
Process Mapping & Gap Analysis
Data Analysis
UAT Support
Stakeholder Management

Technical Skills

SQL
Data Mapping
API & Interface Analysis
EDI Transactions

Key Responsibilities

Gather and document business/functional requirements
Translate requirements into user stories and system specifications
Support member enrollment, eligibility, and benefits processes
Conduct process mapping, data mapping, and gap analysis
Work with APIs, integrations, and EDI transactions
Perform SQL-based data validation and analysis
Support UAT, defect management, and business sign-offs
Collaborate with business, operations, QA, and technical teams

Good to Have

Agile/Scrum experience
Jira & Confluence
Healthcare payer systems knowledge
Data integration/interoperability concepts
Understanding of system integrations and data flows

Ideal Candidate

✅ Strong Healthcare Payer/Member domain experience
✅ Medicare/Medicaid/ACA expertise
✅ Hands-on SQL and Data Mapping skills
✅ Experienced in Requirements Gathering, UAT, and Stakeholder Management
✅ Familiar with APIs, EDI, and Agile environments

Business Systems Analyst (Healthcare Payer/Member Domain)1EDI,UAT,✅ Strong Healthcare Payer/Member domain experience ✅ Medicare/Medicaid/ACA expertise ✅ Hands-on SQL and Data Mapping skills ✅ Experienced in Requirements Gathering,and Stakeholder Management ✅ Familiar with APIs,and Agile environmentsN/AC2CUnited States

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 10211255
Position Id: 247791-14311-1790814464
Posted 1 hour ago

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Business Systems Analyst (Healthcare Payer/Member Domain)

Dice Job Match Score™

Job Details

Skills

Summary

Must-Have Domain Skills

Business Analysis Skills

Technical Skills

Key Responsibilities

Good to Have

Ideal Candidate

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