Business Systems Analyst – Healthcare

Job :
Minneapolis, MN - Remote, United States Salary: USD 50-55 / Hourly (C2C) | USD 50-55 / Hourly (1099)

Employment Type:

1099, C2CCompany: SRI Tech Solutions Business Systems Analyst – Healthcare - 3 Roles Minneapolis, MN (remote”Key Responsibilities Business Analysis & Solution Design Elicit, analyze, and document complex business, operational, and system requirements

Translate business problems into functional requirements, workflows, process models, and user stories

Facilitate requirements workshops with business and technology stakeholders

Support end-to-end solution design and implementation activities

Validate that delivered solutions meet business objectives and acceptance criteria

Payment Integrity & Healthcare Domain Analysis 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

Perform root cause analysis and identify process improvement opportunitiesAI  & Intelligent Automation Enablement 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

Support Human-in-the-Loop review processes and AI governance practices

Participate in workflow automation and intelligent decision-support initiatives

Ensure AI-driven solutions remain explainable, auditable, and aligned with business objectives

Data & Analytics Support Analyze large healthcare datasets to identify trends, anomalies, and improvement opportunities

Collaborate with analytics teams to define metrics, KPIs, and reporting requirements

Support business validation and testing efforts

Leverage data to support strategic decision making

Stakeholder Engagement Serve as liaison between business, operations, product, engineering, data science, and analytics teams

Facilitate discussions, alignment sessions, and solution reviews

Present recommendations and findings to leadership and stakeholders

Drive consensus across cross-functional teams

Preferred Experience
10+ years of Business Analysis / Business Systems Analysis experience

Strong U.S. Healthcare experience working with all Lines of businesses

Payment Integrity, Claims, FWA/Revenue Cycle Management experience

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

Agile delivery experience SQL and data analysis capabilities

Experience working with Databricks, Snowflake, Tableau, or Power BI preferredSRI Tech Solutions is an equal opportunity employer and does not discriminate on the basis of race, color, gender, religion, age, sexual orientation, national origin or citizenship status or ethnic origin, disability, marital status, veteran status, or any other occupationally irrelevant criteria.