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Senior Business Systems Analyst | 40% Remote - Philadelphia PA 19103

Hybrid in Philadelphia, PA, US • Posted 3 days ago • Updated 3 days ago

Contract W2

Contract Corp To Corp

Hybrid

Depends on Experience

Fitment

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PREMIUM BILLING

Summary

Our direct client a large healthcare insurance company is seeking to hire for the below role.

Senior Business Systems Analyst
Pay rate: $50/HR - $60/HR W2
Location: Hybrid Philadelphia PA 19103 | Working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday).
Contract-to-hire opportunity with a strong likelihood of conversion within 6–12 months

Backfill role supporting billing analysis and issue resolution

Analyze and troubleshoot billing issues within Oracle Revenue Management & Billing (OR&B)
Diagnose discrepancies in premium billing and identify root causes
Review billing outputs, resolve issues, and recommend corrective actions
Partner with business teams to understand billing intent vs. system behavior
Identify opportunities for process improvements and preventative solutions
Example: Investigate issues such as incorrect application of EPTC (premium subsidies) and determine cause + resolution
5+ years of Business Analyst or related experience
Strong background in premium billing (not claims billing)
Experience working with a healthcare payer, specifically in fully insured premium billing
Understanding of billing nuances such as:
- Repricing
- Retroactivity
- Subsidies (e.g., EPTC)
Ability to analyze complex billing issues and problem-solve independently
Experience with Oracle OR&B (preferred but not required)
Basic SQL knowledge (does not need to write queries, but should understand data concepts)
Candidates from operations looking to move into a more technical/analytical role are welcome
problem-solver who doesn’t give up when answers aren’t obvious
Able to bridge the gap between business and technical teams
Focused on both fixing issues and preventing future ones
This role focuses on premium and consumer billing, not claims
Vendor will provide interview scheduling link

Please apply with your interest. You may also reach out to me at

Thank you,
Ashu

We provide a comprehensive package which includes.
Benefits

Medical for full time employees
Dental, and Vision Insurance
Life Insurance, Short-Term Disability, Long-Term Disability, etc.

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: 91140885
Position Id: 26-00262
Posted 3 days ago

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