Senior Business Systems Analyst - Remote

Sentara Health; Richmond (VA); Remote; USD 70,000 - 150,000; Full time

Benefits offered by this job

Medical coverage

Dental plan

Vision plan

Paid time off

Sick leave

Parental leave

Family care leave

Tuition assistance

Student debt payoff

401k match

Pet insurance

Legal resources

Job summary

Sentara Health is seeking a Senior Business System Analyst to support, enhance, and implement software applications across Enrollment and Eligibility processes. The role focuses on EDI 834, data flows, and system interfaces, coordinating with business units, IT, and external partners to improve efficiency.

Responsibilities include requirements elicitation, test case development, and leading testing and enhancements for enrollment systems and EDI integrations, with proficiency in SQL and SDLC

Qualifications

• Requires a Bachelor’s degree or 6+ years of relevant experience.
• 4 years of relevant experience (Required).
• Proficiency in SQL, HTML, and CSS (Preferred).
• Experience with Salesforce, QNXT, Edifecs is a plus.

Responsibilities

• Serve as liaison between business units, IT groups, and external partners regarding Enrollment and Eligibility processes.
• Elicit detailed requirements from stakeholders for onboarding and maintenance of EDI 834 transactions.
• Analyze, map, and document data flows, business processes, and system interfaces, especially enrollment and eligibility functions.
• Develop/test and implement enrollment-related solutions and EDI integrations; manage SDLC/Agile projects.

Skills

SQL

HTML

CSS

EDI 834

Tableau

Agile

Education

Bachelor’s degree or higher

Tools

Salesforce

QNXT

Facets

Edifecs

Job description

City/StateRichmond, VAWork ShiftMultiple shifts availableOverview:Sentara is hiring a Senior Business System Analyst!This position is fully remote.Work Location:Remote opportunities available in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, WyomingOverviewThis position is responsible for support, enhancement and implementation software applications used within the organization. Oversees and directs intermediate scale projects or components of large-scale projects; develops project plans and timelines and coordination of project resources.DescriptionIncumbent will identify opportunities to leverage technologies in areas that improve and enhance the business practices by designing and implementing application/product enhancements. Works with and is a liaison to customers and end-users, appropriate IT personnel and software vendors on a regular basis to align technology functionality to operational processes. Assess, research, analyze, and document stakeholder needs, selecting the appropriate information gathering and/or modeling technique to elicit requirements. Develop detailed test cases, execute them, and share results with business and tech managers for approval. Work jointly with developers to solution and provide cost and time estimates on fixes and enhancements. Performs longer term analysis and design of systems and hardware to maintain the production environments. Synthesize requirements and develop recommendations that best meet the objectives of the business. Works on project teams that are developing or modifying very complex information systems.ResponsibilitiesServe as the primary liaison between business units, IT groups, and external partners regarding Enrollment and Eligibility processes, with a focus on EDI 834 file exchangesElicit detailed requirements from stakeholders for the onboarding and maintenance of EDI 834 transactionsAnalyze, map, and document data flows, business processes, and system interfaces—particularly for enrollment and eligibility functionsReview and validate inbound and outbound EDI 834 files to ensure data integrity and compliance with industry and regulatory standardsUtilize methodologies such as Agile, Waterfall, and SDLC to manage and support projects related to enrollment and eligibilityDevelop and execute SQL queries for data analysis and troubleshooting of EDI 834 transactions and enrollment dataIdentify and mitigate operational and technological risks associated with enrollment file exchanges and eligibility processingLead testing, troubleshooting, and enhancement activities for enrollment systems and EDI integrationsBuild and maintain strong relationships with internal teams and external partners (e.g., plan sponsors, TPAs)Proactively identify opportunities for business process improvement and innovation within enrollment and eligibility operationsDrive initiatives to increase customer satisfaction by streamlining EDI processes, enhancing data accuracy, and optimizing workflowsEvaluate project team performance and ensure objectives, targets, and timelines for enrollment and eligibility enhancements are consistently metOversee the design and implementation of new enrollment-related solutions and assess their impact on customer satisfaction and operational efficiencyCreate and distribute monthly performance and operational analysis reports using Tableau, Excel, and other analytic toolsStay informed of regulatory changes and industry trends regarding EDI 834, HIPAA, and member enrollmentProvide training and guidance to junior analysts and business units on EDI 834 standards and enrollment practicesEducationBachelor’s degree preferably in a field such as Computer Science, Business, Technical, Education, Information Systems, Finance, Business Administration, Accounting, Engineering, Information Technology (Required) orCandidates without a bachelor’s degree with 6 or more years of relevant experience may be considered.Experience:4 years of relevant experience (Required)Proficiency in SQL, HTML, and CSS (Preferred)Must have experience working in SQLUnderstanding of Software Development Life CycleNice to have experience working in Salesforce, QNXT, EdifecsWe provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for full-time employment is: $69,876 – $116,438. Additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunitiesTalroo-health plan, Member enrollment, EDI-834, project management, inbound, member eligibility, QNXT, Facets, SQL, reporting, queries, enrollment, Medicaid, commercial, health plans, HIPAA, SalesforceWe provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay range for full-time employment is $100,817.60 - $149,656.00 annually. Additional compensation may be available for this role, such as shift differentials, standby/on-call pay, shift premiums, extra-shift incentives, or bonus opportunities. Compensation within the range may vary based on qualifications, experience, location, market conditions, and business needs. Note: If an annual salary is posted, it is based on a full-time colleague working 2,080 hours annually. Sentara offers a comprehensive benefits package, including medical, dental, vision, life and disability insurance; 401(k)/403(b) with employer match; paid time off (vacation, sick time, and holidays); paid parental and military leave; educational assistance or student loan repayment; and voluntary benefits.Benefits: Caring For Your Family and Your Career• Medical, Dental, Vision plans• Adoption, Fertility and Surrogacy Reimbursement up to $10,000• Paid Time Off and Sick Leave• Paid Parental & Family Caregiver Leave• Emergency Backup Care• Long-Term, Short-Term Disability, and Critical Illness plans• Life Insurance• 401k/403B with Employer Match• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education• Student Debt Pay Down – $10,000•Pet Insurance•Legal Resources Plan•Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.In support of our mission “to improve health every day,” this is a tobacco-free environment.For positions that are available as remote work, Sentara Health employs associates in the following states:Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.