Overview
Remote
Full Time
Skills
Enrollment
Medicare
healthcare payer domain
Business Systems Analyst
lead management
payer sales processes
quoting
requirements gathering
process mapping
Job Details
Role: Healthcare Payer BSA (Sales Stream)
Location: Remote [US]
Job Type: Full-time
About the Role:
- We are seeking a highly skilled Business Systems Analyst (BSA) with strong experience in the Healthcare Payer domain.
- The ideal candidate will have deep expertise in sales stream processes across both commercial and Medicare lines of business, with hands-on knowledge of lead management, quoting, and enrolment workflows.
- This role requires the ability to bridge business needs with technical solutions, ensuring payer sales processes are efficient, compliant, and scalable.
Key Responsibilities:
- Work closely with business stakeholders to gather, analyze, and document requirements related to payer sales operations (lead management, quoting, enrollment).
- Translate business needs into functional specifications for technical teams and ensure seamless implementation.
- Support process improvements and system enhancements in healthcare payer sales systems.
- Act as the subject matter expert for payer sales workflows across commercial and Medicare business lines.
- Facilitate workshops, requirement sessions, and UAT with cross-functional teams.
- Ensure compliance with regulatory standards (CMS and state guidelines) while designing/enhancing solutions.
- Collaborate with IT, product, and business teams to deliver scalable and user-friendly solutions.
Required Qualifications:
- 5+ years' experience as a BSA or similar role in the Healthcare Payer domain.
- Strong functional knowledge of payer sales processes: lead management, quoting, and enrollment.
- Experience working with commercial and Medicare business lines.
- Excellent skills in requirements gathering, process mapping, and documentation.
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.