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Senior Healthcare Business Analyst / Behavioral Health SME

Lorven Technologies, Inc.

Dallas, Texas • Today

Easy Apply

Full-time, Third Party

Depends on Experience

Sr. Systems Analyst - Oracle HCM Cloud - Texas Behavioral Health Center

UT Southwestern Medical Center at Dallas

Dallas, Texas • Today

Full-time

100% Remote Senior Business Analyst with Strong PBM / Health Plan

DMS Vision Inc.

Remote • 9d ago

Easy Apply

Contract, Third Party

Depends on Experience

Senior Healthcare Business Analyst

Infinite Solutions Inc.

Remote • 9d ago

Easy Apply

Contract, Third Party

Depends on Experience

Sr FHIR Business Analyst

Avenues International, Inc.

Remote • 15d ago

Easy Apply

Contract, Third Party

Depends on Experience

Senior Business Analyst Medicaid Enterprise Systems

Hexaware Technologies, Inc

Remote • 7d ago

Easy Apply

Full-time

Depends on Experience

Senior Business Analyst – Medicaid and Enterprise Data Warehouse - Remote

The Dignify Solutions, LLC

Remote • Today

Easy Apply

Contract, Third Party

$52

Sr. Healthcare Informatics Analyst

Strategic Staffing Solutions

Remote or Texas • Today

Easy Apply

Full-time, Contract

USD0 - USD0

Senior Business Systems Analyst

GDH

Remote • Today

Easy Apply

Third Party, Contract

Depends on Experience

Application System Analyst Senior - Hospital Billing

Christus Health

Irving, Texas • Today

Full-time

Clinical Informatics Systems Analyst Senior - Health Informatics

Christus Health

Irving, Texas • Today

Full-time

Senior Data Analyst (MedTech)

YipitData

Remote • Today

Full-time

USD 175,000.00 - 200,000.00 per year

Application System Analyst Senior - HIM

Christus Health

Irving, Texas • Today

Full-time

Business Continuity Senior Analyst

Toyota Motor North America

Plano, Texas • Today

Full-time

Senior, Actuary Analyst

Toyota Motor North America

Plano, Texas • Today

Full-time

Senior Analyst - Financial Analysis

Toyota Motor North America

Plano, Texas • Today

Full-time

Senior Business Analyst (Healthcare/HRP - HealthRules Payer)

Maantic

Remote • 2d ago

Easy Apply

Third Party, Contract

Depends on Experience

Sr. Business Analyst/Product Owner

SyrenCloud LLC

Remote • 8d ago

Easy Apply

Contract, Third Party

70 - 80

Senior Healthcare Data Analyst

Machinify

Remote • Today

Full-time

USD 140,000.00 - 170,000.00 per year

Senior Clinical Data Analyst (Healthcare Analytics)

Tendo

Remote or Chicago, Illinois • Today

Full-time

USD 97,750.00 - 132,250.00 per year

Senior IT Business Analyst Specialist

Washington State Department of Transportation

Remote or Olympia, Washington • Today

Full-time

USD 94,620.00 - 124,128.00 per year

Digital Sr Analyst - Healthcare Data Management

Huron

Remote or Chicago, Illinois • Today

Full-time

USD 85,000.00 - 95,000.00 per year

Senior Data Intelligence Analyst (Health Equity Analyst) - Remote

Cedars Sinai

Remote or Los Angeles, California • 23d ago

Full-time

USD 118,500.00 - 172,000.00 per year

Sr. Business / Data Analyst

SYSTEM SOFT TECHNOLOGIES LLC

Remote or Hybrid • Today

Easy Apply

Contract

Senior Workday HCM Analyst

Superlanet, Inc.

Remote • 13d ago

Easy Apply

Full-time

115,000 - 140,000

Senior HCM Analytics & BI Developer

CACI International, Inc.

Remote • Today

Full-time

USD 105,100.00 - 231,100.00 per year

Senior Basis SME

Johnson Technology Systems Inc (JTSI)

Remote • 8d ago

Easy Apply

Full-time

Depends on Experience

Sr. Agile Business Analyst

General Dynamics

Remote • Today

Full-time

USD 83,927.00 - 113,549.00 per year

Job Details

Skills

Healthcare Business Analyst

Summary

Position: Senior Healthcare Business Analyst / Behavioral Health SME

Location: REMOTE

Duration: FTE/Long Term

Note: Key Areas need to be focused

1. Women's health

2. Oncology

3. Health solutions

4. MSK

Requirements

10+ years of Healthcare Payer experience with 5+ years in Behavioral Health (Mental Health & Substance Use Disorders).
Strong understanding of the end-to-end payer lifecycle:
- Eligibility & Enrollment
- Benefits Configuration
- Claims Processing & Adjudication
- Prior Authorization
- Care & Case Management
- Provider Management
- Appeals & Grievances
- Payment Integrity
Deep knowledge of Behavioral Health regulations, including:
- MHPAEA (Mental Health Parity)
- Medicare & Medicaid BH programs
- HIPAA
- CMS and State-specific regulatory requirements
- NCQA/URAC standards
Strong Business Analysis skills:
- Requirements gathering
- BRD/FRD/User Stories
- Process mapping
- Gap analysis
- UAT/SIT support
- Stakeholder management
Experience with payer platforms such as Facets, QNXT, HealthRules, GuidingCare, TruCare, or similar.
Knowledge of healthcare transactions and interoperability standards:
- 837, 835, 834, 270/271
- HL7/FHIR
Strong SQL, data analysis, and system integration understanding.

Thanks and Have a nice day,

Madhan

Lorven Technologies, Inc.

101 Morgan Lane | Suite 209 | Plainsboro | NJ 08536

X 251

Email: | Web:

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: 10120137
Position Id: 71856-10367-1790781714
Posted 9 hours ago

Fitment

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Business Analyst Healthcare

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Application System Analyst II - Professional Billing

Irving, Texas

•

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Summary: The Application System Analyst II serves as a liaison between system end-users (customers), operational leaders, additional support resources and vendors to design, build and optimize their assigned applications in a timely and high-quality manner. The Systems Analyst II will provide application support and optimization. They work closely with the Service Desk to assist in responding to service requests. The Application System Analyst II must be able to analyze business issues/requirem

Full-time

Healthcare Business Analyst

Remote

•

Yesterday

10+ years of Healthcare Payer experience with 5+ years in Behavioral Health (Mental Health & Substance Use Disorders). Seeking a seasoned Behavioral Health SME with strong Business Analyst and healthcare systems expertise to support payer transformation initiatives. The ideal candidate will have deep knowledge of Behavioral Health operations, end-to-end payer processes, and healthcare regulations, along with the ability to bridge business and technology teams. Key Requirements: 10+ years of Hea

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Senior Business Analyst – Medicaid and Enterprise Data Warehouse - Remote

Remote

•

Today

Required Qualifications Bachelors degree in Information Systems, Data Analytics, or related field.8-10+ years of experience as a Business Analyst supporting data warehouse or large data integration projects.5+ years of experience working with Medicaid or healthcare data systems.Strong experience gathering and documenting complex business and data requirements.Preferred Qualifications Experience with TMSIS and other federal reporting compliance to Center for Medicare and Medicaid Services (CMS).E

Easy Apply

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$52

Job Details

Skills

Healthcare Business Analyst

Summary

Position: Senior Healthcare Business Analyst / Behavioral Health SME

Location: REMOTE

Duration: FTE/Long Term

Note: Key Areas need to be focused

1. Women's health

2. Oncology

3. Health solutions

4. MSK

Requirements

10+ years of Healthcare Payer experience with 5+ years in Behavioral Health (Mental Health & Substance Use Disorders).
Strong understanding of the end-to-end payer lifecycle:
- Eligibility & Enrollment
- Benefits Configuration
- Claims Processing & Adjudication
- Prior Authorization
- Care & Case Management
- Provider Management
- Appeals & Grievances
- Payment Integrity
Deep knowledge of Behavioral Health regulations, including:
- MHPAEA (Mental Health Parity)
- Medicare & Medicaid BH programs
- HIPAA
- CMS and State-specific regulatory requirements
- NCQA/URAC standards
Strong Business Analysis skills:
- Requirements gathering
- BRD/FRD/User Stories
- Process mapping
- Gap analysis
- UAT/SIT support
- Stakeholder management
Experience with payer platforms such as Facets, QNXT, HealthRules, GuidingCare, TruCare, or similar.
Knowledge of healthcare transactions and interoperability standards:
- 837, 835, 834, 270/271
- HL7/FHIR
Strong SQL, data analysis, and system integration understanding.

Thanks and Have a nice day,

Madhan

Lorven Technologies, Inc.

101 Morgan Lane | Suite 209 | Plainsboro | NJ 08536

X 251

Email: | Web:

Dice Id: 10120137
Position Id: 71856-10367-1790781714
Posted 9 hours ago

Fitment

Dice Job Match Score™

To see how well you match this job, please log in or create an account.

Once logged in, be sure to complete your profile to get the most accurate match score.

Create job alert

Never miss an opportunity! Create an alert based on the job you applied for.

Similar Jobs

Business Analyst Healthcare

Dallas, Texas

•

Yesterday

Easy Apply

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Depends on Experience

Application System Analyst II - Professional Billing

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Healthcare Business Analyst

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Senior Business Analyst – Medicaid and Enterprise Data Warehouse - Remote

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