TPA core services Business Analyst

Talanto; Northern (KY); Hybrid; USD 64,000 - 81,000; Full time

Job summary

GDIT is seeking a TPA Core Services Business Analyst to support the World Trade Center Health Program. You will lead requirements elicitation and refine eligibility, claims, provider management, member services, and payment workflows.

Work with cross‑functional technical teams, government stakeholders, and system vendors to ensure requirements align with capabilities and mission needs. This role offers meaningful impact, ongoing learning, and a comprehensive benefits package.

Qualifications

• 3+ years of related experience (healthcare operations, payer systems, or federal program support preferred).
• Experience with requirements management, workflow mapping, EDI or API integrations, and claims systems.

Responsibilities

• Lead requirements elicitation, documentation, and refinement activities for eligibility, claims, provider management, member services, and payment workflows.
• Collaborate with cross‑functional technical teams, operational staff, system vendors, QA testers, and government stakeholders to align requirements with system capabilities.
• Validate workflow logic, support testing, ensure requirements traceability, and resolve issues impacting TPA operations.
• Utilize requirements management tools and workflow modeling techniques to support seamless execution.

Skills

Continuous Process Improvement

Federal Healthcare

Healthcare Operations

Education

Technical training, certification(s), or degree

Tools

Jira

Confluence

Azure DevOps

Job description

5,352 – 6,708 $

Important: if an employer asks you to log into their system via iCloud or Google, send a code, an SMS or Telegram password, run some code, or install software — refuse. These are signs of fraud.

Type of Requisition:

Regular

Type of Requisition:

Regular

Clearance Level Must Currently Possess: None

Clearance Level Must Be Able to Obtain: None

Public Trust/Other Required:

MBI (T2)

Job Family: Process and Operational Efficiency

Job Qualifications:

Skills: Continuous Process Improvement, Federal Healthcare, Healthcare Operations

Certifications: None

Experience: 5 + years of related experience

US Citizenship Required: No

Job Description:

TPA Core Services Business Analyst

Contribute to the strategic direction of the business and support impactful mission outcomes as a TPA Core Services Business Analyst at GDIT. Here, you’ll enable the success of one of the most critical federal healthcare missions and support high‑quality administrative services for the World Trade Center Health Program.

MEANINGFUL WORK AND PERSONAL IMPACT

As a TPA Core Services Business Analyst, the work you’ll do at GDIT will directly support the mission of the World Trade Center Health Program (WTCHP). You will play a crucial role in ensuring business requirements, workflows, and system interactions across Third Party Administrator (TPA) core services are clear, aligned, and ready for accurate and compliant healthcare delivery.

• Lead requirements elicitation, documentation, and refinement activities that directly support eligibility, claims, provider management, member services, and payment workflows.
• Collaborate with cross‑functional technical teams, operational staff, system vendors, QA testers, and government stakeholders to ensure requirements and workflows align with system capabilities and mission needs.
• Drive accurate outcomes by validating workflow logic, supporting testing efforts, ensuring requirements traceability, and resolving issues that impact TPA operations.
• Utilize requirements management tools, workflow modeling skills, healthcare administrative expertise, and integration analysis techniques to support seamless operational execution.

WHAT YOU’LL NEED TO SUCCEED

Bring your initiative and drive for innovation to GDIT. The TPA Core Services Business Analyst must have:

• Education: Technical training, certification(s), or degree
• Experience: 3+ years of related experience (healthcare operations, payer systems, or federal program support preferred)
• Technical skills: Experience with requirements management, workflow/process mapping, EDI or API integrations, eligibility and claims systems, Jira, Confluence, Azure DevOps, or similar platforms
• Security clearance level: MB(T2)
• US citizenship required
• Role requirements: Ability to collaborate with technical and operational teams; familiarity with HIPAA and secure handling of PHI/PII; experience validating system behavior; 0–10% travel as needed

GDIT IS YOUR PLACE

At GDIT, the mission is our purpose, and our people are at the center of everything we do.

• Growth: AI-powered career tool that identifies career steps and learning opportunities
• Support: An internal mobility team focused on helping you achieve your career goals
• Rewards: Comprehensive benefits and wellness packages, 401K with company match, and competitive pay and paid time off
• Flexibility: Full-flex work week to own your priorities at work and at home
• Community: Award-winning culture of innovation and a military-friendly workplace

OWN YOUR OPPORTUNITY

Explore a career at GDIT and you’ll find endless opportunities to grow alongside colleagues who share your passion for the mission and for delivering reliable and meaningful results.

The likely salary range for this position is $64,230 - $80,500. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

Scheduled Weekly Hours: 40

Travel Required:

Less than 10%

Telecommuting Options:

Remote

Work Location: Any Location / Remote

Additional Work Locations:

Total Rewards at GDIT:

Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee’s date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.

Our Identity Verification Process:

As part of the hiring process, we will ask you to complete an identity verification process that leverages advanced biometrics and artificial intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during virtual interviews. We reserve the right to take your picture to verify your identity and prevent fraud. By proceeding, you authorize the collection, processing, and use of your biometric data for identity verification and security purposes.

About Our Work:

We are GDIT. A global technology and professional services company that delivers technology solutions and mission services to every major agency across the U.S. government, defense and intelligence community. Our 26,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50+ countries worldwide, offering leading mission-ready capabilities in AI, cloud, cyber and software development.

Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans