Billing Systems Business Analyst

TEKsystems•Honolulu, HI

16h•$28 - $37•Hybrid

About The Position

TEKsystems is supporting a large healthcare payer with ongoing transformation initiatives within their Membership and Enrollment organization, specifically supporting membership billing, payments, and accounts receivable (A/R) operations. We are seeking a Business Analyst support to ensure effective system adoption, workflow alignment, and operational readiness. This Business Analyst – Billing Systems & Operations role will focus on BillTrust utilization, workflow optimization, requirements documentation, and cross‑functional coordination across Billing & Premium, IT, Analytics, and project stakeholders.

Requirements

3–5 years of experience as a Business Analyst, with a focus on system implementation, process improvement, or change management.
Experience supporting system implementations or post‑implementation stabilization efforts.
Strong analytical and critical‑thinking skills with the ability to work independently.
Proven ability to interpret, document, and validate detailed business requirements.
Experience evaluating workflows, SOPs, and/or quality and compliance processes.
Excellent communication skills and comfort collaborating across multiple teams, including offshore partners.
Self‑directed, solution‑oriented, and able to ramp up quickly in a fast‑paced environment.

Nice To Haves

Healthcare, payer operations, or premium billing experience.
Familiarity with BillTrust or similar billing systems.
Experience supporting Medicare plans or regulated billing environments.
Exposure to Salesforce or system migration initiatives.
Background in operations management, data analysis, or vendor coordination.

Responsibilities

Billing & Premium Workflow Analysis
Analyze existing billing and premium workflows to ensure alignment with the newly implemented BillTrust system.
Support teams in understanding and optimizing processes within BillTrust, identifying gaps or inefficiencies as adoption continues.
Partner closely with the Billing & Premium team to ensure consistency between system configuration, SOPs, and day‑to‑day billing operations.
Requirements Gathering & Documentation
Gather and document business requirements related to premium billing, adjustments, membership transactions, and associated quality needs.
Translate operational billing needs into actionable requirements for BillTrust configuration, automation, and reporting.
Identify workflow dependencies and downstream impacts within billing and premium processes.
Quality & SOP Validation
Review billing‑ and premium‑related Standard Operating Procedures (SOPs) to ensure accuracy and compliance requirements are met.
Perform quality checks to validate billing processes, data outputs, and premium workflows against SOPs.
Support audit preparation and quality assurance activities tied to billing accuracy and compliance.
Reporting Support
Review billing and premium reports for accuracy and alignment with system outputs.
Partner with Data Analysts to validate billing‑related data used for operational reporting and decision‑making.
Ensure reports meet regulatory requirements, particularly for Medicare billing and premium processes.
Cross‑Functional & Vendor Collaboration
Work closely with internal stakeholders across Billing & Premium, IT, Analytics, and Operations.
Participate in cross‑functional working sessions to ensure reporting, quality, and billing requirements are represented.
Support coordinated analysis and documentation efforts tied to broader system transitions (including legacy tool retirement and Salesforce integration).
Operational Readiness & Support
Assist with operational readiness activities tied to premium billing and Medicare plan changes.
Participate in knowledge transfer from internal subject matter experts.
Support testing activities, issue identification, and risk mitigation as billing systems and workflows mature.