Overview
Skills
Job Details
About Genzeon
Delivering excellence in IT services and solutions for the retail and healthcare sectors. Genzeon is a leading provider of intelligent automation, security, compliance, cloud, and managed services. Our healthcare capabilities integrate data systems, facilitate information flow, and leverage interoperability to improve clinical and operational outcomes. Genzeon empowers retail enterprises with multichannel IT solutions that deliver a personalized experience for consumers.
Genzeon has an exciting opening for Business Analyst - Healthcare Technology to join our dynamic team.
Business Analyst - Healthcare Technology
Remote
Position Overview
We are seeking an experienced Business Analyst with specialized expertise in Trizetto products, provider network management, and NetworkX Pricer platforms. This role will bridge business stakeholders and technical teams, driving requirements analysis and solution design for complex healthcare systems.
Key Responsibilities
Business Analysis & Requirements Management.
Lead requirements gathering, analysis, and documentation for healthcare technology initiatives.
Collaborate with stakeholders to define business needs and translate them into technical specifications.
Conduct gap analysis and develop comprehensive BRDs, FRDs, and process flow diagrams.
Facilitate workshops and stakeholder interviews to elicit detailed business requirements.
Trizetto Platform Expertise.
Configure and optimize Trizetto FACETS, QNXT, or other Trizetto suite applications.
Analyze claims processing workflows, member enrolment processes, and provider data management.
Support system upgrades, implementations, and integrations involving Trizetto products.
Troubleshoot system issues and collaborate on data mapping requirements.
Provider Network Management.
Analyze provider network configurations, credentialing workflows, and contract management processes.
Support provider directory maintenance, network adequacy analysis, and provider onboarding.
Work with network management teams to optimize provider relations and ensure regulatory compliance.
Document provider data workflows and recommend system enhancements.
NetworkX Pricer Analysis.
Configure and maintain pricing rules, fee schedules, and reimbursement methodologies
Analyze pricing accuracy, identify discrepancies, and support contract loading processes.
Collaborate with actuarial and finance teams on pricing model validation.
Document pricing workflows and create training materials for end users.
Process Improvement
Identify opportunities for process automation and workflow optimization.
Create process documentation, user guides, and training materials.
Lead process improvement initiatives and support change management activities.
Required Qualifications
Education & Experience
Bachelor's degree in Business Administration, Healthcare Administration, Information Systems, or related field
7+ years of business analysis experience in healthcare technology environments
5+ years of hands-on experience with Trizetto products (FACETS, QNXT)
4+ years of experience with provider network management systems
3+ years of experience with NetworkX Pricer or similar healthcare pricing platforms
Technical Skills
Proficiency in business analysis tools (Visio, JIRA, Confluence)
Strong SQL skills for data analysis and reporting
Experience with healthcare data standards (EDI, HL7, X12)
Knowledge of healthcare regulatory requirements (ACA, HIPAA)
Familiarity with Agile/Scrum methodologies
Core Competencies
Excellent analytical and problem-solving abilities
Strong written and verbal communication skills
Ability to work effectively with cross-functional teams
Detail-oriented with strong organizational skills
Experience facilitating meetings and presenting to leadership
Preferred Qualifications
Master's degree or professional certifications (CBAP, PMI-PBA)
Experience with healthcare payer operations (claims, enrolment, customer service)
Knowledge of value-based care models and alternative payment methodologies
Experience with data visualization tools (Tableau, Power BI)