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Business System Analyst (Member Domain)

Irving, TX, US • Posted 7 hours ago • Updated 2 hours ago

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ADDSOURCE

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Job Details

Skills

Benefits Administration
Healthcare Payer
Member Enrollment & Eligibility
Requirements Gathering & Process Mapping
SQL & Data Mapping

Summary

Job description

Role: Business System Analyst (Member Domain)

Experience: 10+ Years

Location: Remote

What you'll be doing

We are seeking a Business Systems Analyst (BSA) with healthcare payer experience to support member enrollment, eligibility, benefits, and member operations initiatives. The role involves gathering requirements, analyzing business processes, working with stakeholders, and helping deliver technology solutions that improve healthcare member services.

Duties

Gather, analyze, and document business and functional requirements.
Translate business needs into user stories, process flows, and functional specifications.
Support member enrollment, eligibility, benefits administration, and member operations.
Perform process mapping, gap analysis, data analysis, and data mapping.
Collaborate with business, operations, QA, and technology teams.
Analyze APIs, interfaces, integrations, and EDI transactions.
Perform SQL-based data validation and support issue resolution.
Support UAT, defect tracking, and business sign-off activities.
Ensure requirements are complete, traceable, and aligned with business goals.

Required

5+ years of Business Analyst or Business Systems Analyst experience.
Healthcare Payer domain experience.
Experience with Member Enrollment, Eligibility, Benefits Administration, and Member Operations.
Knowledge of Medicare, Medicaid, and ACA Exchange programs.
Strong requirement gathering, documentation, process mapping, and gap analysis skills.
Experience with SQL, data mapping, API/interface analysis, and EDI transactions.
Strong stakeholder management and communication skills.

Desired

Understanding of end-to-end healthcare member lifecycle and payer systems.
Experience with Agile/Scrum methodologies.
Knowledge of Jira and Confluence.
Understanding of healthcare interoperability and data integration concepts.
Experience working with cross-functional teams.
Exposure to HL7, FHIR, healthcare analytics, cloud, or AI-driven healthcare solutions.

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: 91122967
Position Id: 2026-4586
Posted 7 hours ago

Company Info

About ADDSOURCE

AddSource is a premier staffing and workforce solutions partner headquartered in Delaware, USA, with operations in Alberta, Canada under the brand name AddSource.

We specialize in connecting top-tier talent with leading organizations across diverse industry sectors.

With a strong commitment to excellence, our mission is to deliver innovative, customized staffing solutions that empower clients to achieve their goals while helping candidates advance their careers.

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Irving, Texas

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Job description Interoperability Business Systems Analyst (Healthcare) Experience: 10+ Years Location: Hybrid / Remote What you'll be doing 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 solutions across healthcare interoperabili

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Third Party

Technical Project Manager