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Business Systems Analyst healthcare
Job in
Minneapolis, Hennepin County, Minnesota, 55400, USA
Listed on 2026-10-12
Listing for:
Talent Groups
Full Time
position Listed on 2026-10-12
Job specializations:
-
Business
Business Systems & Technology Analysis -
IT/Tech
Business Systems & Technology Analysis
Job Description & How to Apply Below
- Elicit, analyze, and document complex business, operational, and system requirements
- Translate business problems into functional requirements, workflows, process models, and user stories
- Analyze healthcare claims, provider billing patterns, member utilization, and payment integrity opportunities
- Support initiatives focused on preventing improper payments and reducing financial leakage
- Collaborate with SMEs to understand clinical and non-clinical claim scenarios
- Translate business risks and operational challenges into AI-ready business requirements
- Define business rules, signals, thresholds, and intervention logic supporting AI-enabled workflows
- Partner with Data Science teams to define model inputs, outputs, business validation criteria, and success measures
- 10+ years of Business Analysis / Business Systems Analysis experience
- Strong U.S. Healthcare experience working with all Lines of businesses
- Experience supporting AI, advanced analytics, or intelligent automation initiatives
- Healthcare claims processing and adjudication knowledge
- Knowledge of lifecycle of a claim is a “MUST”. Claims processing is an added advantage
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