Business Systems Analyst

What is in it for you?
As a Business Systems Analyst you’ll assess, identify, and articulate business needs for data and technical solutions.

Summary: 
Seeking a Senior Data / Business Systems Analyst with strong techno‑functional experience in the healthcare payer domain to lead and support data‑driven initiatives. The ideal candidate will have deep expertise in payer data, including claims, population health, and industry data standards. You will work closely across business and technology teams, analyzing data files for ingestion, writing functional requirements, and supporting the SDLC/Agile lifecycle from initiation → design → testing → deployment. A strong analytical background and prior experience in the healthcare insurance industry is required.

Duties:
Leadership & Strategy:
Assess, identify, and articulate business needs for data and technical solutions
Establish data quality SLAs, metrics, and dashboards for critical datasets
Assist in managing large‑scale projects, determining requirements, resources, and deliverables
Ensure successful implementations aligned with AmeriHealth standards
Data Analysis & Delivery:
Create documentation such as Functional Specifications and Source‑to‑Target (S2T) mappings
Perform advanced SQL‑based data analysis and profiling
Validate payer datasets (claims, membership, provider, clinical)
Collaborate with engineering teams working on Azure Data Factory, Databricks, and Snowflake
Provide in‑depth functional understanding of ETL technologies
Partner with data governance and business teams to resolve data quality issues
Participate in estimating scope and defining IS team deliverables
Contribute to change management, leading as needed
Resolve conflicting business requirements across teams
Manage multiple tasks/projects simultaneously; strong written and verbal communication required

Required:
At least Eight (8) years of experience in a business environment with business/ data analysis, project management, and process re-engineering concentration.
At least five (5 )+ years of experience in healthcare industry (Medicaid, Medicare) preferred.
Prior experience in EDI data transactions and/ or Care Management data standards
Strong expertise in Azure Databricks (Delta Lake, Delta Live Tables, Unity Catalog).
Strong SQL skills with ability to create and build queries.
Knowledge of data governance, PII compliance, and data quality frameworks.
Strong communication and leadership abilities for cross-functional teamwork.
Possess strong understanding in Healthcare Systems like FACETS
Familiarity with BI tools (Power BI, Tableau) to validate reporting layer data
Understanding of data governance platforms (e.g., Collibra)