Role: Senior Business System Analyst, onsite in Woodland Hills, CA / Mason, OH - Full-time
Job description: 429342/-BH
Experience Required: 7 - 12+ years
Must Have Technical/Functional Skills
Job Description
Must Have Technical/Functional Skills
We are seeking an experienced Business Systems Analyst with strong healthcare domain expertise to support payer-side business and technology initiatives. The analyst will work closely with business stakeholders, product owners, and technical teams to translate complex healthcare business requirements into clear functional and system specifications across multiple core domains including Claims, Enrollment, Membership, Benefits, Provider, and Billing.
Key Skills
Business Systems Analyst experienced in healthcare domains, including Claims, Enrollment, Membership, Benefits, Provider, and Billing.
Roles & Responsibilities
Analyze, and document business and system requirements across healthcare payer domains such as Claims, Enrollment, Membership, Benefits, Provider Management, and Billing.
Collaborate with business users, SMEs, and technical teams to understand end to end healthcare workflows and operational processes.
Translate business needs into functional specifications, system requirements, user stories, use cases, process flows, and acceptance criteria.
Support system design discussions by validating requirements, identifying gaps, and ensuring alignment with business objectives.
Perform impact analysis for changes across upstream and downstream systems.
Participate in Agile ceremonies including backlog grooming, sprint planning, and sprint reviews.
Support UAT planning and execution, including test scenario creation, defect triage, and validation of fixes.
Ensure compliance with healthcare regulations and standards (e.g., HIPAA, EDI transactions such as 834, 837, 835 knowledge preferred).
Work closely with data, integration, and QA teams to support requirement clarification and delivery readiness.
...Our Practice-Come Be Part of It!St. Matthews Family Dental | Louisville, KYFull-Time Patient Coordinator | $18-$24 per hourDo you know how to keep a dental... ...running smoothly. From answering the phone to navigating insurance questions and coordinating appointments, this role...
...activities including routine environmental monitoring, operation of QC equipment, QC sample handling, protocol execution, GMP documentation, data collection, inventory support, and coordination with Quality Assurance. The role follows approved SOPs, GDP, GLP, cGMP requirements,...
...Job Summary A well-established professional services firm in Orlando, FL is seeking an experienced Marketing Manager to lead marketing, branding, communications, and business development initiatives. This direct hire opportunity is ideal for a creative and organized...
...Marketing Lead Chick-fil-A Sadsbury Position Type: Full-Time or Part-Time Pay: Part time (20-30 hours a week): $16-19/hr; Full Time (35+): $19-23/hr Reports... ...both operational and non-operational time. Digital & Social Media Marketing Manage Chick-fil-A...
We are seeking a skilled and detail-oriented professional to join our team in a fabrication role focused on producing, assembling, and preparing piping systems for installation. This position plays an important part in ensuring high-quality workmanship, accurate fit-up...