Sr. Technical Business Analyst - Inbound

TEKsystems•Virginia Beach, VA

2d•$50 - $58•Remote

About The Position

The Business Analyst will support our client's Enrollment Services organization, focusing on inbound membership and eligibility transactions during a large-scale implementation initiative supporting the integration of Medicaid and Commercial lines of business. This individual will serve as the liaison between business stakeholders, operations teams, vendors, and IT to ensure enrollment data is received, validated, processed, and maintained accurately.

Requirements

Healthcare Payer experience.
Enrollment and eligibility experience.
EDI 834 processing knowledge.
Strong SQL querying capabilities.
Excellent communication and stakeholder management skills.
Demonstrated project experience.
Experience working cross-functionally with business and technology teams.

Nice To Haves

QNXT experience.
Tableau experience.
Python scripting.
Six Sigma certification
EDI 820 knowledge.

Responsibilities

Analyze inbound enrollment and eligibility files from trading partners and vendors.
Work extensively with EDI 834 transactions and enrollment-related data.
Gather, document, and validate business requirements.
Create process maps, data flow diagrams, and functional specifications.
Perform root cause analysis and data investigations.
Utilize SQL to analyze enrollment data and troubleshoot system issues.
Evaluate operational and technical risks.
Manage work requests received through shared mailboxes and inventory management tools.
Partner with business and IT teams on implementation and enhancement projects.
Identify opportunities for process automation and operational improvements.
Create performance reporting and business analytics.
Support testing, implementation, and validation activities for system changes.
Participate in Agile and SDLC project activities.