Senior Business Systems Analyst - Remote
About The Position
This position is responsible for support, enhancement and implementation of software applications used within the organization. It oversees and directs intermediate scale projects or components of large-scale projects; develops project plans and timelines and coordination of project resources. The incumbent will identify opportunities to leverage technologies in areas that improve and enhance business practices by designing and implementing application/product enhancements. They will work with and be a liaison to customers and end-users, appropriate IT personnel, and software vendors on a regular basis to align technology functionality to operational processes. The role involves assessing, researching, analyzing, and documenting stakeholder needs, selecting the appropriate information gathering and/or modeling technique to elicit requirements. The analyst will develop detailed test cases, execute them, and share results with business and tech managers for approval. They will work jointly with developers to solution and provide cost and time estimates on fixes and enhancements. The position also performs longer-term analysis and design of systems and hardware to maintain the production environments and synthesizes requirements to develop recommendations that best meet the objectives of the business. The analyst will work on project teams that are developing or modifying very complex information systems.
Requirements
- Bachelor’s degree preferably in a field such as Computer Science, Business, Technical, Education, Information Systems, Finance, Business Administration, Accounting, Engineering, Information Technology (Required) or Candidates without a bachelor’s degree with 6 or more years of relevant experience may be considered.
- 4 years of relevant experience (Required)
- Must have experience working in SQL
- Understanding of Software Development Life Cycle
Nice To Haves
- Proficiency in SQL, HTML, and CSS (Preferred)
- Nice to have experience working in Salesforce, QNXT, Edifecs
Responsibilities
- Serve as the primary liaison between business units, IT groups, and external partners regarding Enrollment and Eligibility processes, with a focus on EDI 834 file exchanges
- Elicit detailed requirements from stakeholders for the onboarding and maintenance of EDI 834 transactions
- Analyze, map, and document data flows, business processes, and system interfaces—particularly for enrollment and eligibility functions
- Review and validate inbound and outbound EDI 834 files to ensure data integrity and compliance with industry and regulatory standards
- Utilize methodologies such as Agile, Waterfall, and SDLC to manage and support projects related to enrollment and eligibility
- Develop and execute SQL queries for data analysis and troubleshooting of EDI 834 transactions and enrollment data
- Identify and mitigate operational and technological risks associated with enrollment file exchanges and eligibility processing
- Lead testing, troubleshooting, and enhancement activities for enrollment systems and EDI integrations
- Build and maintain strong relationships with internal teams and external partners (e.g., plan sponsors, TPAs)
- Proactively identify opportunities for business process improvement and innovation within enrollment and eligibility operations
- Drive initiatives to increase customer satisfaction by streamlining EDI processes, enhancing data accuracy, and optimizing workflows
- Evaluate project team performance and ensure objectives, targets, and timelines for enrollment and eligibility enhancements are consistently met
- Oversee the design and implementation of new enrollment-related solutions and assess their impact on customer satisfaction and operational efficiency
- Create and distribute monthly performance and operational analysis reports using Tableau, Excel, and other analytic tools
- Stay informed of regulatory changes and industry trends regarding EDI 834, HIPAA, and member enrollment
- Provide training and guidance to junior analysts and business units on EDI 834 standards and enrollment practices
Benefits
- Medical, Dental, Vision plans
- Adoption, Fertility and Surrogacy Reimbursement up to $10,000
- Paid Time Off and Sick Leave
- Paid Parental & Family Caregiver Leave
- Emergency Backup Care
- Long-Term, Short-Term Disability, and Critical Illness plans
- Life Insurance
- 401k/403B with Employer Match
- Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
- Student Debt Pay Down – $10,000
- Pet Insurance
- Legal Resources Plan
- Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
