TPA core services Business Analyst
About The Position
Contribute to the strategic direction of the business and support impactful mission outcomes as a TPA Core Services Business Analyst at GDIT. Here, you’ll enable the success of one of the most critical federal healthcare missions and support high‑quality administrative services for the World Trade Center Health Program. As a TPA Core Services Business Analyst, the work you’ll do at GDIT will directly support the mission of the World Trade Center Health Program (WTCHP). You will play a crucial role in ensuring business requirements, workflows, and system interactions across Third Party Administrator (TPA) core services are clear, aligned, and ready for accurate and compliant healthcare delivery.
Requirements
- Technical training, certification(s), or degree
- 3+ years of related experience (healthcare operations, payer systems, or federal program support preferred)
- Experience with requirements management, workflow/process mapping, EDI or API integrations, eligibility and claims systems, Jira, Confluence, Azure DevOps, or similar platforms
- MBI (T2) security clearance level
- US citizenship required
- Ability to collaborate with technical and operational teams
- Familiarity with HIPAA and secure handling of PHI/PII
- Experience validating system behavior
Nice To Haves
- Continuous Process Improvement
- Federal Healthcare
- Healthcare Operations
Responsibilities
- Lead requirements elicitation, documentation, and refinement activities that directly support eligibility, claims, provider management, member services, and payment workflows.
- Collaborate with cross‑functional technical teams, operational staff, system vendors, QA testers, and government stakeholders to ensure requirements and workflows align with system capabilities and mission needs.
- Drive accurate outcomes by validating workflow logic, supporting testing efforts, ensuring requirements traceability, and resolving issues that impact TPA operations.
- Utilize requirements management tools, workflow modeling skills, healthcare administrative expertise, and integration analysis techniques to support seamless operational execution.
Benefits
- 401K with company match
- Competitive pay
- Paid time off
- Full flex work weeks
- Variety of medical plan options
- Health Savings Accounts
- Dental plan options
- Vision plan
- Paid parental leave
- Military leave
- Bereavement leave
- Jury duty leave
- Short-term disability benefits
- Long-term disability benefits
- Life insurance
- Accidental death and dismemberment insurance
- Personal accident insurance
- Critical illness insurance
- Business travel and accident insurance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
