Senior Business Systems Analyst

This is a fully remote position, open to applicants in Virginia.

📋 Description

• Provide support, enhancement, and implementation of software applications utilized within the organization.

• Manage and oversee intermediate-scale projects or segments of larger projects.

• Create project plans, establish timelines, and coordinate project resources.

• Act as the main point of contact between business units, IT departments, and external partners concerning Enrollment and Eligibility processes, with a focus on EDI 834 file exchanges.

• Gather, analyze, map, and document stakeholder requirements, data flows, business processes, and system interfaces.

• Review and verify inbound and outbound EDI 834 files for data integrity and compliance with regulations.

• Utilize Agile, Waterfall, and SDLC methodologies to manage and support projects.

• Create and execute SQL queries for data analysis and troubleshooting purposes.

• Lead testing, troubleshooting, and enhancement initiatives for enrollment systems and EDI integrations.

• Identify and address operational and technological risks.

• Cultivate relationships with internal teams and external partners, including plan sponsors and TPAs.

• Promote process enhancements, customer satisfaction, data accuracy, and workflow optimization.

• Assess project team performance to ensure objectives, targets, and timelines are achieved.

• Supervise the design and implementation of enrollment-related solutions while evaluating operational impacts.

• Generate and distribute monthly performance and operational analysis reports using Tableau, Excel, and other analytical tools.

• Keep track of regulatory changes and industry trends related to EDI 834, HIPAA, and member enrollment.

• Mentor and instruct junior analysts and business units on EDI 834 standards and enrollment practices.

⛳️ Requirements

• A bachelor's degree in a relevant field such as Computer Science, Business, Technical Education, Information Systems, Finance, Business Administration, Accounting, Engineering, or Information Technology (Required).

• Candidates lacking a bachelor's degree may still be considered with 6 or more years of pertinent experience.

• A minimum of 4 years of relevant experience (Required).

• Proven experience working with SQL.

• Familiarity with the Software Development Life Cycle.

• Proficiency in SQL, HTML, and CSS (Preferred).

• Experience with Salesforce, QNXT, or Edifecs (Nice to have).

• Familiarity with EDI 834, enrollment and eligibility processes, HIPAA, and member enrollment.

• Experience utilizing Tableau, Excel, and other analytic/reporting tools.

• Competence in working with Agile and Waterfall methodologies.

• Knowledge of data mapping, system interfaces, testing, and troubleshooting.

• Ability to provide training and support on EDI 834 standards and enrollment practices.

🏝️ Benefits

• Medical, Dental, and Vision plans.

• Adoption, Fertility, and Surrogacy Reimbursement up to $10,000.

• Paid Time Off and Sick Leave.

• Paid Parental & Family Caregiver Leave.

• Emergency Backup Care.

• Long-Term, Short-Term Disability, and Critical Illness plans.

• Life Insurance.

• 401k/403B with Employer Match.

• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education.

• Student Debt Pay Down – $10,000.

• Pet Insurance.

• Legal Resources Plan.

• Opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria are met.

• Professional development and a commitment to continued employment philosophy.