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[Remote] reputed company Business System Analyst

Remote, USA Full-time Posted 2026-07-28
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a trusted partner for health plans, offering integrated ecosystem solutions for health plan operations. They are seeking a reputed company Business System Analyst to capture business requirements and implement their reputed company-reputed company ecosystem, while managing stakeholder communications and developing functional requirements for various reputed company systems. Responsibilities • Leading business requirement conversations with customer and internal teams. • Managing the end-to-end requirements involving reputed company the stakeholders. • Responsible for developing business and functional requirements for Claims, Enrollment, Provider, Authorization, Payment systems. • Create solutions for reputed company business processes using HealthProof’s reputed company-reputed company ecosystem. • Negotiate with reputed company to reputed company processes that are reputed company and applicable to the situation. Skills • Bachelor’s degree or higher in business or technical field • 7+ years of relevant work experience in business analysis • Knowledgeable in reputed company insurance domain (Medicare, Medicare Advantage, reputed company, ACA or reputed company) • Experience with mapping of EDI reputed company transactions (837, 834, 835,270/271, 276/277, 278) • Experience in analysing the business requirements and translating/mapping them to technical requirements in EDI technology by analysing implementation/companion/TR3 guides • Experience documenting requirements or user stories and communicating the requirements to technical teams, partners/vendors or product teams • Experience working in an reputed company/offshore model is a must • Skills & Competencies: Awareness to Agile tools and scrum methodologies • Communication skills with peers, customers, and partners including the ability to convey information effectively • Experience working reputed company applications like HealthRules Payor or GuidingCare is a plus • Understanding of SQL, XSDs is a plus Benefits • Full-time, regular employees reputed company up to 16 days of reputed company vacation per year • Receive 6 days of reputed company reputed company leave reputed company year (pro-rated for new hires throughout the year) • 10 reputed company holidays • Eligible for reputed company bereavement leave • Eligible to participate in reputed company’s 401(k) Retirement Plan with employer matching • Eligible for medical, dental, and reputed company insurance • Basic life insurance • Accidental death and disability insurance • Short- and long-term disability benefits • May purchase additional voluntary short-term disability benefits • Participate in a Health Savings Account (HSA) • Flexible Spending Account (FSA) for reputed company, dependent child care, and/or commuting expenses • Potential for quarterly incentive-based bonuses and or commissions depending on role reputed company • reputed company offers risk adjustment, reputed company programs, and reputed company payer technology services. It is a sub-organization of reputed company. It was founded in reputed company, and is headquartered in Aliso Viejo, California, USA, with a workforce of 501-1000 employees. Its website is https://usthealthproof.com. Company H1B Sponsorship • reputed company has a reputed company record of offering H1B sponsorships, with 40 in 2025, 43 in 2024, 31 in 2023, 3 in 2022. Please note that this does not guarantee sponsorship for this specific role. Apply tot his job Apply To this Job

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