Must be located in one of the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming.
Description
The Business Analyst will support our client's Enrollment Services organization, focusing on inbound membership and eligibility transactions during a large-scale implementation initiative supporting the integration of Medicaid and Commercial lines of business.
This individual will serve as the liaison between business stakeholders, operations teams, vendors, and IT to ensure enrollment data is received, validated, processed, and maintained accurately.
Responsibilities include:
Analyze inbound enrollment and eligibility files from trading partners and vendors.
Work extensively with EDI 834 transactions and enrollment-related data.
Gather, document, and validate business requirements.
Create process maps, data flow diagrams, and functional specifications.
Perform root cause analysis and data investigations.
Utilize SQL to analyze enrollment data and troubleshoot system issues.
Evaluate operational and technical risks.
Manage work requests received through shared mailboxes and inventory management tools.
Partner with business and IT teams on implementation and enhancement projects.
Identify opportunities for process automation and operational improvements.
Create performance reporting and business analytics.
Support testing, implementation, and validation activities for system changes.
Participate in Agile and SDLC project activities.
Skills
Business Analyst, System Analyst, Healthcare, health plan, enrollment, SQL, EDI, EDI834, QNXT
Top Skills Details
Business Analyst, System Analyst, Healthcare,health plan,enrollment,SQL,EDI,EDI834,QNXT
Additional Skills & Qualifications
Required
Healthcare Payer experience.
Enrollment and eligibility experience.
EDI 834 processing knowledge.
Strong SQL querying capabilities.
Excellent communication and stakeholder management skills.
Demonstrated project experience.
Experience working cross-functionally with business and technology teams.
Nice to Have
QNXT experience.
Tableau experience.
Python scripting.
Six Sigma certification
EDI 820 knowledge.
Eligible States
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, Wyoming.
Experience Level
Expert Level
Job Type & Location
This is a Contract to Hire position based out of Virginia Beach, VA.
Pay and Benefits
The pay range for this position is $50.00 - $58.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on Jul 31, 2026.
About TEKsystems
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.
Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.
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: 101054TS
- Position Id: JP-006171985
- Posted 1 day ago
Never miss an opportunity! Create an alert based on the job you applied for.
