Business Systems Analyst-ll - Growing Healthcare Organization

Fallon Health•Worcester, MA
•$112,000 - $115,000

About The Position

Fallon Health is seeking a Business Systems Analyst II to bridge business operations, technology solutions, and enterprise data. The position combines business analysis with hands-on data analysis to support healthcare business processes, system enhancements, production support, and strategic initiatives. The successful candidate will facilitate requirements discussions with business stakeholders and use SQL to investigate issues, validate business rules, and analyze data. The role requires healthcare knowledge, requirements analysis, and SQL-based validation; experience with the QNXT platform is preferred. The position requires permanent U.S. work authorization. Visa sponsorship is not provided, and candidates on OPT/CPT are not accepted. Hiring is limited to Massachusetts, Connecticut, Rhode Island, New Hampshire, and New York (excluding the listed “Burroughs”).

Requirements

  • Bachelor's degree or equivalent experience; the qualifications section describes a bachelor's degree or equivalent experience as preferred.
  • At least 3 years of Business Analyst, Systems Analyst, or Data Analyst experience, or equivalent experience.
  • At least 3 years of experience writing technical specifications, or equivalent experience.
  • At least 3 years of data analysis experience in an information technology operating environment, or equivalent experience.
  • Strong SQL query-writing skills, including joins, aggregations, subqueries, and data validation techniques.
  • Experience analyzing data in relational databases.
  • Experience gathering requirements and documenting business processes.
  • Strong analytical, problem-solving, and communication skills.
  • One year of healthcare industry experience.
  • Understanding of data warehousing concepts, relational databases, and their business applicability in healthcare management.
  • Proficient query-writing experience and basic knowledge of SQL and relational technology, or equivalent experience.
  • Ability to prioritize, organize, and follow up to meet critical deadlines.
  • Good interpersonal, verbal, and written communication skills, including the ability to facilitate meetings.
  • Moderate conceptual and analytical skills and business acumen.
  • Permanent U.S. work authorization; visa sponsorship is unavailable, and OPT/CPT candidates are not accepted.
  • Must be located in Massachusetts, Connecticut, Rhode Island, New Hampshire, or New York, excluding the listed “Burroughs”.

Nice To Haves

  • Healthcare payer experience.
  • Experience with claims, membership, provider, finance, or eligibility data.
  • Familiarity with QNXT, SQL Server, Power BI, Azure DevOps, or Alteryx.
  • Experience supporting enterprise applications and data-driven decision making.

Responsibilities

  • Partner with business and technology teams to gather and document requirements.
  • Analyze business processes, workflows, integrations, and system impacts.
  • Write SQL queries to validate data, investigate issues, and support testing.
  • Perform data analysis, reconciliation, and root cause investigations.
  • Translate business needs into requirements, user stories, process flows, and data mappings.
  • Support solution design, testing, implementation, and production support activities.
  • Identify process improvement and automation opportunities.
  • Prioritize, organize, and follow up to meet critical deadlines.
  • Contribute to team discussions, workgroups, and meetings.
  • Suggest process improvements and take initiative.
  • Facilitate meetings and communicate with stakeholders.
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