Job Description


Job Overview

  • Job ID:

    J55115

  • Job Title:

    Business Systems Analyst Healthcare

  • Location:

    Minneapolis, MN

  • Duration:

    12 Months + Extension

  • Domain Exposure:

    Insurance

  • Client:

    To Be Discussed Later

  • Employment Type:

    W-2, 1099, C2C

  • Work Authorization:

    US Citizen, Green Card, H-1B, OPT-EAD, CPT, Other

Job Title:Business Systems Analyst Healthcare

Location:  Minneapolis, MN

Duration:12 months 

Bill Rate: $78/hour (C2C)

Job Type: W-2, 1099, C2C

Client: To Be Discussed Later

Work Authorization: US Citizen, Green Card, OPT-EAD, CPT, H-1B, H4-EAD, Other

Key Responsibilities:

  • 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(expanded requirements below):

  • 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 opportunities
  • Expertise in LOBs – E&I(UNET or USP)/M&R(COSMOS)/C&S(CSP Facets) and recovery platforms

AI  & 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  of lifecycle of a claim, Claim Processing, Claim Auditing is a “MUST”.
  • Agile delivery experience
  • SQL and data analysis capabilities
  • Experience working with Databricks, Snowflake, Tableau, or Power BI preferred

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Equal Opportunity Employer

We are an equal opportunity employer. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, national origin, citizenship/ immigration status, veteran status, or any other status protected under federal, state, or local law.