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Business System Analyst (Health and Pharmacy Claims) - Hybrid

Jobs via Dice, Minneapolis, Minnesota, United States, 55400

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Business System Analyst (Health and Pharmacy Claims) - Hybrid

Business System Analyst (Health and Pharmacy Claims) - Hybrid

1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Dice is the leading career destination for tech experts at every stage of their careers. Our client, Javen Technologies, Inc, is seeking the following. Apply via Dice today!

Title: Senior Business Systems Analyst

Location: Eagan, MN

This role is hybrid, 2 days a week in office, out of Eagan, MN

One designated anchor day with your team, and one day of your choosing. (Mon-Thu)

Our buildings are physically closed on Fridays.

The Impact You Will Have

Assist with the development of an interface between our internal claims system and our external health analytics vendor. Identify and document which claims should be transmitted, assess the scope of Pharmacy claims, and establish a hierarchy for leveraging multiple vendors for claims validation. Define reporting requirements and understand how to manage the appeals process, including data tracking, letter management, and appeal routing. Drive this initiative to completion by the end of 2025, to ensure a streamlined and efficient integration.

Responsibilities

Lead and facilitate cross-functional meetings with business owners and subject matter experts to gather, define, and drive execution of comprehensive business requirements and system rules. This involves close collaboration across multiple business units and IT teams to ensure alignment and successful delivery. Provide consistent and transparent communication by delivering daily updates on activities, including progress tracking, issue escalation, and status reporting to stakeholders and leadership.

Required Skills And Experience

5+ years of experience with strong technical and analytical expertise Proven ability to build effective cross-functional relationships Strong skills in problem-solving, conflict resolution, facilitation, and negotiation Excellent communication skills with both technical and non-technical audiences Self-directed with a high degree of accountability Demonstrated ability to perform under pressure and meet tight deadlines Effective at managing multiple priorities and competing demands Proficient in documenting detailed business requirements Experience working within Agile frameworks and applying Agile principles

Preferred Skills And Experience

Bachelor s degree in business, Information Technology, or a related field. Familiarity with Jira or similar project management and issue tracking tools. Healthcare industry knowledge or experience working in healthcare-related projects. Previous experience working with claims vendors and systems Seniority level

Seniority level

Mid-Senior level Employment type

Employment type

Full-time Job function

Job function

Information Technology Industries

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