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Business Analyst/ Claims SME

SoftPath Technologies LLC

Minneapolis, Minnesota • Today

Easy Apply

Full-time, Third Party

Depends on Experience

Business Analyst/ Claims SME

Talent Groups

Minneapolis, Minnesota • Today

Easy Apply

Contract

43 - 50

Business Analyst/ Claims SME

Texnere Americas Inc

Minneapolis, Minnesota • Today

Easy Apply

Full-time, Third Party

90,000 - 100,000

Senior Business Analyst – Claims Module

TekShapers

Remote • 4d ago

Easy Apply

Contract

Depends on Experience

Senior SAS Business Analyst with Medicaid/Claims experience (Remote)

Cleo Consulting Inc.

Remote • 6d ago

Easy Apply

Contract, Third Party

$55 - $60

HB/PB Claims Analyst

Randstad Digital

Minneapolis, Minnesota • Today

Contract

USD21 - USD31

HB/PB Claims Analyst

Randstad Digital

Minneapolis, Minnesota • Today

Contract

USD21 - USD31

Senior Business Analyst - Unemployment Insurance Benefits

eSystems, Inc.

Remote • 13d ago

Easy Apply

Full-time

Depends on Experience

Medicaid Claims QA Analyst(Healthcare)

Infinite Computer Solutions (ICS)

Remote • 21d ago

Easy Apply

Full-time

$85,000 - $95,000

California Workers Compensation Claims Examiner

Apidel Technologies

Remote • 5d ago

Easy Apply

Contract

50 - 55

Business Analyst – Reinsurance

Pacific Consultancy Services

Remote • 5d ago

Easy Apply

Third Party, Contract

Depends on Experience

FACETS Architect (with Healthcare Claims)

Mindlance

Remote • Today

Easy Apply

Contract

$80 - $90

Senior Healthcare Business Analyst

Infinite Solutions Inc.

Remote • 3d ago

Easy Apply

Third Party, Contract

Depends on Experience

Technical Delivery Manager with Claims EXP

LiveMindz

Remote • Today

Easy Apply

Contract

60 - 70

Technical Delivery Manager with Claims EXP

LiveMindz

Remote • Today

Easy Apply

Contract

60 - 70

Epic Systems Professional Billing/Claims Analyst

Empower Professionals

Remote • Today

Easy Apply

Third Party, Contract

Depends on Experience

Data QA Engineer With Payer / Provider / Claims

Magicforce

Remote • Today

Easy Apply

Third Party, Contract

Depends on Experience

Techno-Functional Business Analyst Reinsurance

ARK Infotech Spectrum

Remote • Today

Easy Apply

Contract

Depends on Experience

Transactional Liability Claims Counsel

SANS

Remote • Today

Easy Apply

Full-time

Depends on Experience

Techno-Functional Business Analyst Reinsurance

Mango Analytics

Remote • 4d ago

Easy Apply

Contract

Depends on Experience

Data Analyst with Healthcare Revenue Cycle Management (RCM).| Claims lifecycle Exp.- (Product Manager) - Remote W2 Role

Magnum Technologies, Inc.

Remote • Today

Easy Apply

Contract

$55 - $62

EDI Claims Implementation Specialist (Medicaid Migration)

CIS Technologies Inc.

Remote or Hybrid in Latham, New York • 5d ago

Easy Apply

Contract

Depends on Experience

Lead : Python Backend Developer (Healthcare / Claims)

Bramkas Inc.

Remote • Today

Easy Apply

Full-time

Depends on Experience

Business Analyst ITS / Data Mapping

Javen Technologies, Inc

Remote • 3d ago

Easy Apply

Contract

Depends on Experience

Product Owner, Claims Editing (RTM)

Vaco by Highspring

Remote • 4d ago

Easy Apply

Full-time

Depends on Experience

Senior Business Analyst

Apex Systems

Eden Prairie, Minnesota • Today

Easy Apply

Full-time

$30 - $35 per hour

Business Analyst HB & Business Analyst PB

Horizontal Talent

Minneapolis, Minnesota • Today

Full-time

USD 22.00 - 35.00 per hour

PBM BUSINESS ANALYST

Crea Services LLC

Remote • 10d ago

Easy Apply

Contract, Third Party

Depends on Experience

Guidewire Business Analyst

Futuremindz llc

Remote or Hybrid in San Antonio, Texas • 11d ago

Easy Apply

Full-time, Third Party

Depends on Experience

Business Analyst (RCM & WFM)

Turing IT Labs

Remote • 30+d ago

Easy Apply

Contract

58 - 60

Job Details

Skills

Business Analyst/
Claims SME
Business Systems Analysis
Payment Integrity
Claims
Healthcare claims
Snowflake
SQL

Summary

Business Analyst/ Claims SME

Location - Minneapolis, MN(5 days onsite)

fulltime & Contract

Note: Please ensure all submissions are within the agreed rate card for your respective agency.

Key Responsibilities

Business Analysis & Solution Design

Elicit, analyze, and document complex business, operational, and system requirements
Translate business problems into functional requirements, workflows, process models, and user stories
Facilitate requirements workshops with business and technology stakeholders
Support end-to-end solution design and implementation activities
Validate that delivered solutions meet business objectives and acceptance criteria

Payment Integrity & Healthcare Domain Analysis

Analyze healthcare claims, provider billing patterns, member utilization, and payment integrity opportunities
Support initiatives focused on preventing improper payments and reducing financial leakage
Collaborate with SMEs to understand clinical and non-clinical claim scenarios
Perform root cause analysis and identify process improvement opportunities

AI & Intelligent Automation Enablement

Translate business risks and operational challenges into AI-ready business requirements
Define business rules, signals, thresholds, and intervention logic supporting AI-enabled workflows
Partner with Data Science teams to define model inputs, outputs, business validation criteria, and success measures
Support Human-in-the-Loop review processes and AI governance practices
Participate in workflow automation and intelligent decision-support initiatives
Ensure AI-driven solutions remain explainable, auditable, and aligned with business objectives

Data & Analytics Support

Analyze large healthcare datasets to identify trends, anomalies, and improvement opportunities
Collaborate with analytics teams to define metrics, KPIs, and reporting requirements
Support business validation and testing efforts
Leverage data to support strategic decision making

Stakeholder Engagement

Serve as liaison between business, operations, product, engineering, data science, and analytics teams
Facilitate discussions, alignment sessions, and solution reviews
Present recommendations and findings to leadership and stakeholders
Drive consensus across cross-functional teams

Preferred Experience

10+ years of Business Analysis / Business Systems Analysis experience
Strong U.S. Healthcare experience working with all Lines of businesses
Payment Integrity, Claims, FWA/Revenue Cycle Management experience
Experience supporting AI, advanced analytics, or intelligent automation initiatives
Healthcare claims processing and adjudication knowledge
- Knowledge of lifecycle of a claim is a “MUST”. Claims processing is an added advantage
Agile delivery experience
SQL and data analysis capabilities
Experience working with Databricks, Snowflake, Tableau, or Power BI preferred

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: RTX17ee7d
Position Id: 1743-33630-1792424439
Posted 13 hours ago

Fitment

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Recruiter @ SoftPath Technologies LLC

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Similar Jobs

Business Analyst/ Claims SME

Minneapolis, Minnesota

•

Today

Please don't submit irrelevant resumes Job Title Business Analyst/ Claims SME Location - Minneapolis, MN(5 days onsite) Salary: $100K base Salary (+ 10% of QPLC) Contract - $60/hr is MAX Note: Please ensure all submissions are within the agreed rate card for your respective agency. Key Responsibilities Business Analysis & Solution Design Elicit, analyze, and document complex business, operational, and system requirementsTranslate business problems into functional requirements, workflows, proc

Easy Apply

Full-time, Third Party

90,000 - 100,000

Business Analyst/ Claims SME

Minneapolis, Minnesota

•

Today

Key Responsibilities Business Analysis & Solution Design Elicit, analyze, and document complex business, operational, and system requirementsTranslate business problems into functional requirements, workflows, process models, and user storiesFacilitate requirements workshops with business and technology stakeholdersSupport end-to-end solution design and implementation activitiesValidate that delivered solutions meet business objectives and acceptance criteriaPayment Integrity & Healthcare Domain

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43 - 50

Senior Business Analyst

Eden Prairie, Minnesota

•

Today

Job#: 3047631 Job Description: Senior Business Analyst - BOLT Orchestration $30-35/hr Contract until End of Year, will extend into 2027 Position Summary The Senior Business Analyst - BOLT Orchestration supports capability delivery across Trial Claim and Real Claim capabilities within the BOLT Orchestration program. This role is responsible for translating capability vision into detailed business and functional requirements, user stories, acceptance criteria, and audit-ready documentation. Wo

Easy Apply

Full-time

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Senior Business Systems Analyst - Hybrid

Eagan, Minnesota

•

Today

Genesis10 is currently seeking a Senior Business Systems Analyst - Hybrid for a contract position with a Major Healthcare Company located in Eagan, MN. This is a 6+ month contract-to-hire opportunity. Compensation: $65.00 - $75.00 per hour, W2, based on qualifications Position Overview: This individual will partner closely with Product Owners, application teams, and Solution Architects to translate business needs into functional and technical API specifications. The ideal candidate brings stron

Easy Apply

Full-time

USD 65.00 - 75.00 per hour

Job Details

Skills

Business Analyst/
Claims SME
Business Systems Analysis
Payment Integrity
Claims
Healthcare claims
Snowflake
SQL

Summary

Business Analyst/ Claims SME

Location - Minneapolis, MN(5 days onsite)

fulltime & Contract

Note: Please ensure all submissions are within the agreed rate card for your respective agency.

Key Responsibilities

Business Analysis & Solution Design

Elicit, analyze, and document complex business, operational, and system requirements
Translate business problems into functional requirements, workflows, process models, and user stories
Facilitate requirements workshops with business and technology stakeholders
Support end-to-end solution design and implementation activities
Validate that delivered solutions meet business objectives and acceptance criteria

Payment Integrity & Healthcare Domain Analysis

Analyze healthcare claims, provider billing patterns, member utilization, and payment integrity opportunities
Support initiatives focused on preventing improper payments and reducing financial leakage
Collaborate with SMEs to understand clinical and non-clinical claim scenarios
Perform root cause analysis and identify process improvement opportunities

AI & Intelligent Automation Enablement

Translate business risks and operational challenges into AI-ready business requirements
Define business rules, signals, thresholds, and intervention logic supporting AI-enabled workflows
Partner with Data Science teams to define model inputs, outputs, business validation criteria, and success measures
Support Human-in-the-Loop review processes and AI governance practices
Participate in workflow automation and intelligent decision-support initiatives
Ensure AI-driven solutions remain explainable, auditable, and aligned with business objectives

Data & Analytics Support

Analyze large healthcare datasets to identify trends, anomalies, and improvement opportunities
Collaborate with analytics teams to define metrics, KPIs, and reporting requirements
Support business validation and testing efforts
Leverage data to support strategic decision making

Stakeholder Engagement

Serve as liaison between business, operations, product, engineering, data science, and analytics teams
Facilitate discussions, alignment sessions, and solution reviews
Present recommendations and findings to leadership and stakeholders
Drive consensus across cross-functional teams

Preferred Experience

10+ years of Business Analysis / Business Systems Analysis experience
Strong U.S. Healthcare experience working with all Lines of businesses
Payment Integrity, Claims, FWA/Revenue Cycle Management experience
Experience supporting AI, advanced analytics, or intelligent automation initiatives
Healthcare claims processing and adjudication knowledge
- Knowledge of lifecycle of a claim is a “MUST”. Claims processing is an added advantage
Agile delivery experience
SQL and data analysis capabilities
Experience working with Databricks, Snowflake, Tableau, or Power BI preferred

Dice Id: RTX17ee7d
Position Id: 1743-33630-1792424439
Posted 13 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.

Contact the job poster

Batch User

Recruiter @ SoftPath Technologies LLC

View Profile

Create job alert

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

Similar Jobs

Business Analyst/ Claims SME

Minneapolis, Minnesota

•

Today

Easy Apply

Full-time, Third Party

90,000 - 100,000

Business Analyst/ Claims SME

Minneapolis, Minnesota

•

Today

Easy Apply

Contract

43 - 50

Senior Business Analyst

Eden Prairie, Minnesota

•

Today

Easy Apply

Full-time

$30 - $35 per hour

Senior Business Systems Analyst - Hybrid

Eagan, Minnesota

•

Today

Easy Apply

Full-time

USD 65.00 - 75.00 per hour