Business Systems Analyst Healthcare Benefits & Claims
K-Tek Resourcing LLC
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Job Details
Skills
- Business Systems Analyst
- Business Analyst
- Healthcare
- Healthcare Payer
- Benefits Administration
- Claims Processing
- Claims Adjudication
- Eligibility
- Enrollment
- Payer Operations
- HIPAA
- EDI
- 834
- 835
- 837
- SQL
- Jira
- Confluence
- Agile
- Scrum
- BRD
- FRD
- User Stories
- UAT
- Gap Analysis
- Process Mapping
- Facets
- QNXT
- HealthEdge
- TriZetto
Summary
Business Systems Analyst – Healthcare Benefits & Claims
Location: Remote
Pay Rate: $45–47/hr
Industry: Healthcare
Positions: 2
Job Description
We are seeking an experienced Business Systems Analyst (BSA) with strong healthcare payer experience, particularly in Benefits Administration, Claims Processing, Eligibility & Enrollment, and Healthcare Payer Operations.
The ideal candidate will bridge business and technology teams, translating healthcare business requirements into clear functional specifications while supporting Agile delivery, UAT, and system implementation initiatives.
Key Responsibilities
- Gather, analyze, validate, and document business and system requirements.
- Act as a liaison between business stakeholders, technology teams, developers, QA, and healthcare SMEs.
- Support healthcare benefits administration and claims processing initiatives.
- Create user stories, process flows, BRDs, FRDs, and functional specifications.
- Perform gap analysis and impact assessments.
- Support UAT planning, execution, defect tracking, and resolution.
- Collaborate with cross-functional teams in Agile/Scrum environments.
- Analyze business processes and recommend system or process improvements.
Required Skills
- 5+ years of Business Systems Analysis experience.
- Strong Healthcare/Payer domain expertise.
- Hands-on experience with:
- Benefits Administration
- Claims Processing & Adjudication
- Eligibility & Enrollment
- Healthcare Payer Operations
- Requirements gathering and process mapping.
- BRD/FRD and functional documentation.
- HIPAA and healthcare regulatory knowledge.
- EDI transactions: 834, 835, 837.
- SQL.
- Jira and Confluence.
- Agile/Scrum methodologies.
- Strong analytical, communication, and stakeholder management skills.
Preferred Qualifications
- Experience with Facets, QNXT, HealthEdge, or TriZetto.
- CBAP, CCBA, SAFe, or Scrum certification.
- Experience supporting large-scale healthcare payer technology initiatives.
- Dice Id: 10411276
- Position Id: 9053687
- Posted 1 hour ago
Company Info
Vision
To be a trusted partner and advisor to our customers
Mission
At K-Tek we believe in understanding the specific needs of the customer and tailor-creating innovative solutions to meet these needs. We invest in our employees and customers. We build a relation of trust with our customers through empathy, solutions and being the first time right.
Who We Are & What We Do
K-Tek Resourcing is a consulting organization with offices in Houston TX and St. Paul, MN. It is supported by 2 global delivery centers, located in India. With its global employee strength of over 250, K-Tek has been supporting its clients for over 9 years. We have been consistently achieving a growth of 30% Year on Year. We have an extensive experience of working in domains including BFSI, Retail, Healthcare and Pharma, Oil & Gas, Travel & Hospitality and Insurance. The technologies we service are IT Infrastructure, Mobile Technologies, Cloud & Big Data Solutions. We understand the needs of our customers and provide them with customized solutions and resources with the tenet of being the "First Time Right".
Values
-Commitment to our customers success through Integrity
-Excellence through Quality
-Growth through customer value creation
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