Business Systems Analyst – Healthcare

Role: Business Systems Analyst Healthcare
Location: Minneapolis MN - Onsite
Experience: 12 Months
Experience: 8 Year

Rate: $50/hr

Key Responsibilities

Business Analysis & Solution Design

• 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

• 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

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