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Business Systems Analyst (Healthcare Payer/Member Domain)

E-Solutions INCpismo beach, CA

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Overview

Remote
On-site

Job Description

  • Role: Business Systems Analyst (Healthcare Payer/Member Domain)
  • Experience: 10+ years
  • Location: Remote (USA)
Must-Have Domain Skills
  • Healthcare Payer / Member Domain
  • Member Enrollment & Eligibility
  • Benefits Administration
  • Medicare, Medicaid, ACA Exchange Programs
  • Member Operations
Business Analysis Skills
  • Requirement Gathering & Analysis
  • BRD/FRD Documentation
  • Functional Specifications & User Stories
  • Process Mapping & Gap Analysis
  • Data Analysis
  • UAT Support
  • Stakeholder Management
Technical Skills
  • SQL
  • Data Mapping
  • API & Interface Analysis
  • EDI Transactions
Key Responsibilities
  • Gather and document business/functional requirements
  • Translate requirements into user stories and system specifications
  • Support member enrollment, eligibility, and benefits processes
  • Conduct process mapping, data mapping, and gap analysis
  • Work with APIs, integrations, and EDI transactions
  • Perform SQL-based data validation and analysis
  • Support UAT, defect management, and business sign-offs
  • Collaborate with business, operations, QA, and technical teams
Good to Have
  • Agile/Scrum experience
  • Jira & Confluence
  • Healthcare payer systems knowledge
  • Data integration/interoperability concepts
  • Understanding of system integrations and data flows
Ideal Candidate

• Strong Healthcare Payer/Member domain experience• Medicare/Medicaid/ACA expertise• Hands-on SQL and Data Mapping skills• Experienced in Requirements Gathering, UAT, and Stakeholder Management• Familiar with APIs, EDI, and Agile environments

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Automate your job search with Sonara.

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FAQs About Business Systems Analyst (Healthcare Payer/Member Domain) Jobs at E-Solutions INC

What is the work location for this position at E-Solutions INC?
This job at E-Solutions INC is located in pismo beach, CA, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at E-Solutions INC?
Employer has not shared pay details for this role.
What employment applies to this position at E-Solutions INC?
The employer has not provided this information. This may be discussed during the hiring process.
What is the process to apply for this position at E-Solutions INC?
You can apply for this role at E-Solutions INC either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.