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Senior Business Systems Analyst (Healthcare Payer COB SME)

• Posted 5 days ago • Updated 11 minutes ago

Contract Corp To Corp

Contract W2

Occasional Travel Required

People Force Consulting Inc

Fitment

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Job Details

Skills

SQL
Coordination of Benefits (COB)
Primacy Determination
Healthcare Payer operations

Summary

18+ years of overall Business Analysis experience with 10+ years focused on Healthcare Payer operations and at least 7+ years in Coordination of Benefits (COB), Eligibility, Enrollment, and Member Data Management domains.

Deep domain expertise in:
- Coordination of Benefits (COB)
- Primacy Determination
- Enrollment & Eligibility
- Medicare Secondary Payer (MSP)
- Medicaid Coordination Rules
- NAIC COB Guidelines
- Healthcare Payer Operations
- Member Matching / EMPI
- Provider and Payer Ecosystems

Strong SQL and data analysis capabilities.
Experience analyzing complex healthcare datasets.
Familiarity with Azure-based data platforms and modern cloud ecosystems.
Understanding of API-driven architecture and microservices.
Hands-on experience with HL7 and FHIR standards.

Business Analysis Skills

Expert in requirements elicitation and stakeholder management.
Strong process modeling skills (BPMN, Visio, Lucidchart, etc.).
Experience working within Agile/Scrum and SAFe delivery models.
Strong documentation and communication capabilities.

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: 90938791
Position Id: 2026-427
Posted 5 days ago

Company Info

About People Force Consulting Inc

People Force Consulting Inc is an innovative and leading workforce solutions provider, providing Staffing and Professional Services to clients in USA and Canada. We empower our clients with the right work force. Our clients rely on us to provide services and solutions that leverage our industry and domain expertise combined with our technology prowess, delivery focus and quality.

We put our customer, employees and consultants at the heart of everything we do. Building enduring relationships with clients and candidates is our foundational principle. Our collaborative culture and work environment helps attract and retain exceptional talent which is a key ingredient to address our client s needs and help drive our sustained growth.

People Force Consulting Inc is a Certified Women s Business Enterprise (WBE). We strongly believe a diverse, inclusive environment allows customers and employees to reach their fullest potential.

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Requirement Details Position Title: Business System Analyst (Interoperability) Work Mode: Remote USA Candidate Eligibility Visa Requirement: Any Years of Experience Required: 10+ yrs As an Interoperability Business Systems Analyst, you will support healthcare data integration initiatives involving EHR platforms such as Epic and Oracle Health. You will partner with business stakeholders, EHR vendors, and technical teams to gather and translate business requirements into actionable integration s

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Third Party, Contract

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