Healthcare AI-Ready Business Systems Analyst (Minneapolis)

Quantum Technologies. LLC; Minneapolis (MN); On-site; USD 90,000 - 120,000; Full time

Job summary

Quantum Technologies. LLC is seeking a Business Systems Analyst in Minneapolis, MN for a 12-month+ engagement.

Responsibilities include gathering and documenting complex business and system requirements, translating needs into functional specs, and conducting workshops with stakeholders. You will support end-to-end solution design, analyze healthcare claims, identify improper payments, and collaborate with data science teams on AI-enabled workflows.

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 business and technology stakeholders.
• Support end-to-end solution design, implementation, and business validation.
• Analyze healthcare claims, provider billing patterns, member utilization, and payment integrity opportunities.
• Identify improper payments, financial leakage, root causes, and process improvement opportunities.
• Collaborate with healthcare SMEs to understand clinical and non-clinical claim scenarios.
• Translate business risks and operational challenges into AI-ready requirements.
• Define business rules, signals, thresholds, and intervention logic for AI-enabled workflows.
• Partner with Data Science teams to define model inputs, outputs, validation criteria, and success metrics.
• Support Human-in-the-Loop processes, AI governance, and intelligent automation initiatives.
• Analyze large healthcare datasets to identify trends, anomalies, and business improvement opportunities.
• Define KPIs, reporting requirements, and business validation strategies with analytics teams.
• Collaborate with business, operations, product, engineering, and data science teams.
• Present findings and recommendations to leadership and drive alignment across stakeholders.

Job description

Quantum Technologies. LLC is seeking a Business Systems Analyst in Minneapolis, MN for a 12-month+ engagement.

Responsibilities include gathering and documenting complex business and system requirements, translating needs into functional specs, and conducting workshops with stakeholders. You will support end-to-end solution design, analyze healthcare claims, identify improper payments, and collaborate with data science teams on AI-enabled workflows.