Business Systems Analyst

Job Description

We're hiring a Business Systems Analyst to join the Member Enrollment & Operations Team! This role serves as a liaison between Operations, Business, IT, and vendor partners to support enrollment processes, operational stability, issue resolution, process improvement, and technology-driven solutions. The analyst leverages business and technical knowledge to identify root causes, improve operational performance, support enrollment transaction processing (including 834-related activities), drive process standardization, and enable data-driven decision making.

This position plays a critical role in ensuring accurate enrollment processing, operational efficiency, and a positive member experience.

• Serve as a subject matter expert for enrollment-related processes and electronic enrollment transactions, including analysis, monitoring, and resolution of 834 enrollment issues.
• Partner with Enrollment Operations, IT, vendors, and business stakeholders to ensure accurate and timely processing of enrollment transactions and identify opportunities to improve operational performance.
• Provide technical knowledge and support in operational system/application and procedural issues to the business and IT and help the business find technical solutions to meet their goals.
• Work in some phases of systems analysis and consider the business implications of the application of technology to the current business environment
• Provide ongoing user support for ad hoc questions, inquiries, and service requests.
• Provide timely and accurate reporting and analysis related to inventory, productivity, aging, error rates, enrollment processing, and operational performance.
• Proactively identify trends, risks, and potential SLA impacts and partner with operational teams to develop resolution strategies.

• Conduct root cause analysis for operational, system, and enrollment processing issues and partner with business and technical teams to implement corrective and preventive actions.
• Support audit, compliance, and operational readiness activities through issue documentation, remediation tracking, and process improvements.
• Resolve medium, moderately complex production issues by:
  Performing initial triage for severity and business impact of system/application failures; troubleshooting and analyzing to determine root cause of issues; developing applicable business processes and solutions to ensure quality, cost effectiveness, timeliness of customer service, and regulatory requirements and mandates are met; coordinating with IT, other teams and vendors as needed to communicate issues and devise and implement long term remedies;
  
  develop system support processes with IT; coordinate daily to resolve production support issues, including application failures and user errors; document, track and report all system support activities; document, maintain, and improve business processes, desktop procedures, workflows, and operational guidance materials; identify process gaps, inefficiencies, rework loops, and handoff failures and recommend solutions to improve quality and efficiency; support standardization efforts across Member Enrollment Operations and associated business processes.

• Work collaboratively on projects and initiatives with the business and IT by eliciting and documenting business requirements and preparing appropriate functional specifications while considering technical capabilities of the system/application.
• May act as Business Lead/Coordinator on moderate single area/department projects.

• Coordinate business validation and testing activities for enrollment, configuration, and system changes to ensure operational readiness and minimal business disruption.
• Serve as point of contact for business testing activities and ensure testing will appropriately meet business requirements
• Document and may, in some cases, execute test plans and scenarios
• Analyze and verify testing results for accuracy, relevance and completeness
• Provide impact assessments and make assist in formulating recommendations to the business owner regarding issues, risks, etc.
• Assist IT with hardware and software upgrades, security changes, and architectural enhancements as needed.

• Configure and maintain moderately critical system tables and data elements across multiple system environments
• Analyze, develop and implement configuration changes to improve system performance and user efficiency
• Monitor configuration for accuracy and compliance to change control processes.

• Identify opportunities for automation, workflow enhancement, and reporting improvements that reduce manual effort and improve operational performance.
• Participate in the evaluation, implementation, testing, and adoption of automation solutions and process enhancements.

• Bachelor's degree or advanced degree (where…