AI-Driven Business Systems Analyst - Healthcare Claims

MACHINE LEARNING TECHNOLOGIES LLC

Minneapolis (MN)

On-site

USD 86,000 - 123,000

Full time

6 hours ago

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Job summary

Machine Learning Technologies LLC is seeking a Business Systems Analyst in Minneapolis, MN to gather, analyze, and document complex business, operational, and system requirements. You will translate needs into functional specs, workflows, and user stories while collaborating with stakeholders across business and technical teams.

The role involves working with data science to define model inputs/outputs and validation criteria, supporting AI governance and intelligent automation initiatives

Qualifications

Gather, analyze, and document complex business, operational, and system requirements.
Translate business needs into functional requirements, workflows, process models, and user stories.
Collaborate with business, operations, product, engineering, and data science teams.

Responsibilities

Gather, analyze, and document complex business, operational, and system requirements.
Translate business needs into functional requirements, workflows, process models, and user stories.
Conduct requirements workshops with stakeholders.
Support end-to-end solution design, implementation, and validation.
Analyze healthcare claims, provider billing patterns, member utilization, and payment integrity opportunities.
Define business rules, signals, and intervention logic for AI-enabled workflows.
Partner with Data Science teams to define model inputs, outputs, and success metrics.

Job description

The role involves working with data science to define model inputs/outputs and validation criteria, supporting AI governance and intelligent automation initiatives

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