More jobs:
Business Systems Analyst; Healthcare Payer/Member Domain
Job in
Houston, Harris County, Texas, 77246, USA
Listed on 2026-10-08
Listing for:
E-Solutions, Inc.
Full Time
position Listed on 2026-10-08
Job specializations:
-
Business
Business Systems & Technology Analysis -
IT/Tech
Business Systems & Technology Analysis
Job Description & How to Apply Below
- Role: Business Systems Analyst (Healthcare Payer/Member Domain)
- Experience: 10 years
- Location: Remote (USA)
- Healthcare Payer / Member Domain
- Member Enrollment & Eligibility
- Benefits Administration
- Medicare, Medicaid, ACA Exchange Programs
- Member Operations
- Requirement Gathering & Analysis
- BRD/FRD Documentation
- Functional Specifications & User Stories
- Process Mapping & Gap Analysis
- Data Analysis
- UAT Support
- Stakeholder Management
- SQL
- Data Mapping
- API & Interface Analysis
- EDI Transactions
- Gather and document business/functional requirements
- Translate requirements into user stories and system specifications
- Support member enrollment, eligibility, and benefits processes
- Conduct process mapping, data mapping, and gap analysis
Work with APIs, integrations, and EDI transactions
Perform SQL-based data validation and analysis
Support UAT, defect management, and business sign-offs Collaborate with business, operations, QA, and technical teams Good to Have- Agile/Scrum experience
- Jira & Confluence
- Healthcare payer systems knowledge
- Data integration/interoperability concepts
- Understanding of system integrations and data flows
Strong Healthcare Payer/Member domain experience
Medicare/Medicaid/ACA expertise
Hands-on SQL and Data Mapping skills
Experienced in Requirements Gathering, UAT, and Stakeholder Management
Familiar with APIs, EDI, and Agile environmentsBusiness Systems Analyst (Healthcare Payer / Member Domain)1
EDI,UAT, Strong Healthcare Payer/Member domain experience Medicare/Medicaid/ACA expertise Hands-on SQL and Data Mapping skills Experienced in Requirements Gathering,and Stakeholder Management Familiar with APIs,and Agile environmentsN/AC2CUnited States
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