Medicare Business Systems Analyst

Stefanini Group is hiring!

Stefanini is looking for a Medicare Business Systems Analyst 100% Remote

For quick Apply please reach out to Sudhanshu Shrivastava: /

W2 candidates only!

100% Remote

Expenses allowed: no

Client Equipment to be provided.

Job Summary:

We are a large Medicare Advantage (MAPD) health plan undergoing a major core system transformation migrating from TriZetto Facets to Epic Tapestry effective August 1 2026. We are seeking an experienced Contract Business Systems Analyst to backfill a key team member during maternity leave and to support critical initiatives during system migration and Annual Enrollment Period (AEP) readiness.

This role will be embedded within our Medicare Business Systems Analyst team and will partner closely with business IT and vendor stakeholders to ensure continuity of operations accurate requirements delivery and successful testing and implementation during a high impact period.

Essential Functions:

1. Serve as a Business Systems Analyst supporting Medicare Advantage operational processes during Epic Tapestry migration and AEP preparation
2. Elicit analyze and document business and technical requirements related to:
   1. Medicare enrollment and eligibility
   2. Premium billing and payment processing
   3. Member fulfillment (ANOC EOC Formularies Member Letters etc.)
3. Translate business needs into clear functional and technical requirements for development teams
4. Collaborate closely with developers and technical teams to clarify requirements answer questions and support solution design
5. Create maintain and execute test cases and test scenarios to validate system changes and ensure business requirements are met
6. Support functional testing integration testing and user acceptance testing (UAT); document defects and track resolution
7. Manage and track work in JIRA including user stories acceptance criteria assumptions and status reporting
8. Develop and maintain process flows and current/future state documentation using Visio
9. Support system conversion activities including gap analysis workflow changes and operational readiness
10. Participate in Agile ceremonies (daily stand ups sprint planning backlog refinement retrospectives)
11. Identify risks issues and dependencies related to migration and AEP timelines and escalate as appropriate

#LI-SS3

#LI-REMOTE

Required Qualifications:

1. 5 years of experience as a Business Analyst or Business Systems Analyst in a MAPD Plan
2. Strong experience writing executing and managing test cases and supporting UAT
3. Demonstrates experience working with developers to provide technical and functional requirements
4. Strong hands on experience working in JIRA (user stories backlogs sprint tracking defect management)
5. Experience creating process documentation and workflow diagrams using Visio
6. Solid understanding of Medicare Advantage operations including:
   1. MAPD Enrollment and eligibility
   2. MAPD Premium billing and payment processing
   3. MAPD Member fulfillment processes
7. Experience working in Agile delivery environments
8. Strong analytical documentation and stakeholder communication skills
9. Ability to operate independently and ramp up quickly in a complex regulated healthcare environment

Preferred Qualifications:

1. Experience with Epic Tapestry (payer platform)
2. Prior experience supporting TriZetto Facets/EAM/TCS or similar core administration platforms
3. Experience supporting system migrations or large scale system conversions
4. Familiarity with CMS regulations impacting Medicare Advantage operations
5. Prior experience supporting Annual Enrollment Period (AEP) activities or peak enrollment cycles

Listed salary ranges may vary based on experience qualifications and local market. Also some positions may include bonuses or other incentives.

Stefanini takes pride in hiring top talent and developing relationships with our future employees. Our talent acquisition teams will never make an offer of employment without having a phone conversation with you. Those face-to-face conversations will involve a description of the job for which you have applied. We also speak with you about the process including interviews and job offers.

About Stefanini Group:

The Stefanini Group is a global provider of offshore onshore and near shore outsourcing IT digital consulting systems integration application and strategic staffing services to Fortune 1000 enterprises around the world. Our presence is in countries like the Americas Europe Africa and Asia and more than four hundred clients across a broad spectrum of markets including financial services manufacturing telecommunications chemical services technology public sector and utilities. Stefanini is a CMM level 5 IT consulting company with a global presence. We are CMM Level 5 company.