Senior System Analyst, Healthcare Billing Rules

Socket.dev; Seattle (WA); On-site; USD 124,000 - 168,000; Full time

Job summary

Amazon Health Services seeks a Senior System Analyst to operationalize the financial engine powering healthcare billing. You will translate complex billing requirements into configurable system rules to ensure every encounter is billed accurately, turning manual processes into scalable automation.

You will bridge business intent and system behavior, owning the logic layer that determines how charges are captured, how claims are constructed, and how payer rules are applied.

Qualifications

• Bachelor's degree in Finance, Accounting, Business, Economics or a highly analytical field (e.g., Engineering, Math, and Computer Science), or experience with SQL.
• Experience documenting accounting conclusions, or experience communicating complex information and solutions to senior stakeholders and influencing decisions.
• 5+ years of experience in system analysis, business analysis, or technical configurations — with a focus on translating business requirements into functional specifications

Responsibilities

• Partner with billing operations, finance and clinical stakeholders to translate complex billing requirements into scalable, logical functional specifications that power the billing engine
• Define and maintain billing rules, payer-specific configurations, and charge logic that drive accurate claim generation
• Use data analysis to identify billing defects, revenue leakage patterns, and configuration gaps — prioritize work by financial impact, not squeaky-wheel urgency
• Build and maintain reporting and monitoring to validate system behavior and catch issues proactively. Maintain documentation of business rules, configuration decisions, and system dependencies
• Identify opportunities to replace manual workflows with systematic, rules-based automation — reducing human error and accelerating throughput
• Design scalable processes that accommodate new service lines, payer contracts, and business models without bespoke rework
• Work with engineering to ensure requirements are implementable, testable, and maintainable; participate in design discussions and QA validation

Skills

SQL

Education

Bachelor's degree in Finance, Accounting, Business, Economics or analytical field

Job description

Amazon Health Services seeks a Senior System Analyst to operationalize the financial engine powering healthcare billing. You will translate complex billing requirements into configurable system rules to ensure every encounter is billed accurately, turning manual processes into scalable automation.

You will bridge business intent and system behavior, owning the logic layer that determines how charges are captured, how claims are constructed, and how payer rules are applied.