Senior IT Claims Analyst: Healthcare Data & Systems Lead

Healthez Inc; Minneapolis (MN); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Health benefits

401k retirement plan

Paid time off

Parental leave

Job summary

HealthEZ is seeking a Senior IT Business Analyst to bridge Claims Operations and IT. You will translate claims needs into testable requirements, analyze processes and data, and support design, testing, and implementation.

You will work with architects, developers, and vendors to ensure designs meet business needs, using SQL, reporting, and data analysis to drive decisions and improvements.

Qualifications

• Bachelor's degree or equivalent experience in a related field.
• 5+ years of experience in healthcare claims operations, claims systems analysis, or related role.
• Strong knowledge of healthcare claims processing and adjudication.
• Ability to translate complex claims processes into clear technology requirements.
• Experience facilitating requirements sessions with diverse teams.
• Proficiency in SQL and data concepts to investigate issues.

Responsibilities

• Serve as IT-based SME for healthcare claims processes, systems, data, and projects.
• Gather, validate, and prioritize business, functional, data, integration, and reporting requirements.
• Translate needs into user stories, process flows, data requirements, and acceptance criteria.
• Coordinate testing with Claims Operations, QA, developers, and vendors.
• Support implementation readiness and post-production validation.

Skills

Healthcare claims experience

SQL

Requirements gathering

Documentation

Analytical skills

Communication skills

Education

Bachelor's degree in information systems, business, healthcare administration, or related field

Equivalent experience

Tools

Azure DevOps

Power BI

APIs

ETL processes

SQL Server

Job description

HealthEZ is seeking a Senior IT Business Analyst to bridge Claims Operations and IT. You will translate claims needs into testable requirements, analyze processes and data, and support design, testing, and implementation.

You will work with architects, developers, and vendors to ensure designs meet business needs, using SQL, reporting, and data analysis to drive decisions and improvements.