Health Plan Systems Analyst - Optimize Claims & Enrollment

Catalyst Solutions; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

Catalyst Solutions is seeking a Technical Analyst to support and optimize technology systems across health plan operations. You will translate business needs into functional specs, configure and test core health plan platforms, and troubleshoot issues to ensure smooth operations.

Collaborate with IT, Operations, Compliance, and Client Services; perform data analysis, document processes, and support UAT and system integrations. Knowledge of HIPAA and healthcare regulations is a plus.

Qualifications

• Bachelor's degree in IT/CS or related field.
• Experience in health plan environments preferred.
• Familiarity with core administration platforms like QNXT or Facets a plus.
• Strong analytical and problem-solving skills.
• Excellent written and verbal communication skills.
• Ability to translate business requirements into technical specifications.
• Experience with MS Office Suite (Excel, Visio, PowerPoint).
• Knowledge of HIPAA and healthcare regulatory requirements a plus.

Responsibilities

• Analyze business requirements and translate them into functional and technical specifications.
• Configure, test, and support health plan systems, including claims, enrollment, eligibility, and benefits platforms.
• Collaborate with IT, Operations, Compliance, and Client Services to identify and resolve system issues.
• Perform data analysis and generate reports to support business decisions.
• Assist with system implementations, upgrades, and integrations.
• Document system processes, workflows, and configuration changes.
• Conduct user acceptance testing (UAT) and validate system changes before deployment.
• Provide troubleshooting support and root-cause analysis for technical issues.
• Ensure HIPAA and regulatory compliance for health plan data and systems.
• Support process improvements in technology and operations.

Skills

Analytical thinking

Problem solving

Communication

Requirements translation

Education

Bachelor's degree in IT/CS

Tools

MS Office

QNXT

Job description

Catalyst Solutions is seeking a Technical Analyst to support and optimize technology systems across health plan operations. You will translate business needs into functional specs, configure and test core health plan platforms, and troubleshoot issues to ensure smooth operations.

Collaborate with IT, Operations, Compliance, and Client Services; perform data analysis, document processes, and support UAT and system integrations. Knowledge of HIPAA and healthcare regulations is a plus.