Senior Business Analyst (Healthcare Revenue Management & Data Integrity)

Accelyst

Accelyst is an innovative AI Consultancy that leverages a unique catalog of industry-specific Agents and leading-edge AI platforms to deliver tangible, integrated, secure, and ROI-optimized solutions. We combine deep industry and technical expertise to enable rapid deployment of innovative AI-driven capabilities to augment and automate client workflows for employees, customers, prospects, and investors.

Why Accelyst?

Join Accelyst to be part of a dynamic team that leverages AI-driven technology to make a positive impact. Our leadership, with Big Four Consulting experience, fosters a nimble, client-focused environment, minimizing bureaucracy to enhance delivery and professional growth. You''''ll work on complex healthcare and data transformation initiatives that challenge and inspire, meeting high client expectations. Additionally, benefit from our profit-sharing model, reflecting our commitment to respect and integrity for all employees.

Job Summary

Accelyst is seeking a highly experienced Senior Business Analyst – Healthcare Revenue Management & Data Integrity to support strategic initiatives across Revenue Management, Payment Integrity, Claims, Provider, Membership, and Financial Operations. This role serves as the liaison between business stakeholders and technical teams, ensuring successful delivery of enterprise programs through effective requirements management, process improvement, and data quality initiatives.

The ideal candidate will possess strong healthcare payer experience, exceptional analytical and communication skills, and the ability to independently lead requirements gathering, stakeholder engagement, data analysis, and operational improvement efforts across multiple workstreams.

Job Roles and Responsibilities:

• Elicit, analyze, document, and validate business, functional, and system requirements.
• Serve as the primary liaison between business stakeholders, operational teams, and technical teams.
• Support strategic initiatives related to Revenue Management, Payment Integrity, Claims Processing, Provider Operations, Membership, and Financial Operations.
• Perform data analysis, data validation, reconciliation, and root cause analysis to ensure data quality and integrity.
• Develop Business Requirements Documents (BRDs), functional specifications, user stories, process flows, use cases, and supporting documentation.
• Facilitate stakeholder meetings, requirements workshops, and solution design sessions.
• Coordinate requirements management and change management processes throughout the project lifecycle.
• Analyze existing business processes and identify opportunities for process improvement and operational efficiencies.
• Support project planning activities including scope definition, impact assessments, risk identification, and solution evaluation.
• Partner with business and IT teams to ensure requirements are accurately translated into technical solutions.
• Support User Acceptance Testing (UAT), defect management, implementation, and post-production activities.
• Develop training materials, knowledge transfer documents, and end-user support resources.
• Lead or participate in cross-functional initiatives and mentor junior business analysts when necessary.
• Evaluate the impact of proposed solutions on current and future operational environments.
• Prepare reporting metrics, dashboards, and executive-level status updates.
• Ensure project deliverables align with business goals and organizational standards.
• Collaborate with project managers, architects, developers, QA teams, and operational stakeholders to ensure successful delivery.

Job Requirement:

• Bachelor’s degree in Business Administration, Information Systems, Healthcare Administration, Computer Science, or a related field, or equivalent experience.
• 5+ years of Business Analyst experience supporting enterprise initiatives.
• Experience working within healthcare payer, health insurance, managed care, or healthcare operations environments.
• Strong experience supporting Revenue Management, Revenue Cycle, Payment Integrity, Claims Processing, Provider Operations, Membership, or Financial Operations initiatives.
• Proven expertise in requirements gathering, documentation, stakeholder management, and process analysis.
• Experience performing data analysis, reconciliation, validation, and data quality assessments.
• Experience supporting full project lifecycle activities from requirements through implementation and production support.
• Strong facilitation, communication, and relationship management skills.
• Ability to work independently with minimal supervision and manage multiple priorities.
• Experience collaborating with cross-functional business and technology teams.
• Strong analytical, problem-solving, and critical-thinking skills.
• Experience creating business requirements documents (BRDs), functional specifications, user stories, process maps, and workflow diagrams.
• Experience supporting User Acceptance Testing (UAT), defect management, and implementation activities.
• Excellent verbal and written communication skills with the ability to communicate effectively with executives and stakeholders.

Preferred Qualifications

• Experience with Payment Integrity programs and healthcare reimbursement operations.
• Knowledge of healthcare claims processing and revenue management processes.
• Experience with SQL for data analysis, reconciliation, and validation.
• Experience with Power BI, Tableau, or enterprise reporting and analytics tools.
• Experience supporting enterprise PMO, governance, or transformation initiatives.
• Experience working within Agile, Scrum, Waterfall, or hybrid delivery environments.
• Familiarity with healthcare payer platforms and systems.
• Experience creating workflow diagrams, process maps, and business process documentation.
• Experience supporting large-scale enterprise transformation or operational excellence initiatives.