Business Systems Analyst (Provider, Hospitals, Revenue Cycle, Claims)

Business Systems Analyst (Provider, Hospitals, Revenue Cycle, Claims)

Posted 2 weeks ago by 1752647986

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Negotiable
Outside
Remote
USA
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Accounting Accounting Systems Bank Secrecy Act Billing Business Process Business Systems Data Mapping Data Validation Finance Financial Analysis Income / Revenue Informatics Mapping Software Market Trend Operational Efficiency Return On Investment Scheduling Solution Design SQL (Programming Language) Stakeholder Management Systems Integration Technology Solutions Verification And Validation Workflows

Summary: We are seeking a Sr. Business Systems Analyst to enhance operational efficiency in the Revenue Cycle and Claims domain within a hospital ecosystem. The role involves analyzing data flows, understanding business processes, and delivering technology solutions across various functions such as Registration, Scheduling, Billing, and Accounting. The ideal candidate will collaborate with stakeholders and act as a subject matter expert to optimize workflows and ensure compliance with industry standards.

Key Responsibilities:

  • Collaborate with stakeholders to gather, define, and document both current and future business and data needs.
  • Perform data mapping of clinical, revenue cycle, and claims information into normalized models for Hospital Revenue and Claims data.
  • Act as a subject matter expert (SME) on revenue cycle domains (e.g., Registration, Scheduling, Billing).
  • Support data-driven use cases by building robust and scalable data concepts.
  • Conduct data validation and quality testing to ensure standards compliance and accuracy.
  • Evaluate existing business processes and recommend changes aligned with system integration goals.
  • Participate in solution design and implementation across multiple platforms and teams.
  • Conduct financial analysis including ROI to prioritize and fund projects.
  • Support cross-functional teams to optimize workflow consistency and quality.
  • Stay current with healthcare industry trends and apply them to improve processes.
  • Identify improvement opportunities, providing actionable recommendations.
  • Monitor project tasks to ensure timely delivery, scope alignment, and quality compliance.
  • Proactively escalate unresolved project or process challenges.

Key Skills:

  • Min of 10 years of IT experience as a Business Systems Analyst, or Data Product Owner
  • Minimum 3 years of experience in a Provider (Hospital) environment for Revenue Cycle or Claims analyst role within a hospital setting.
  • Solid understanding of clinical, billing, and claims workflows in both ambulatory and acute care settings.
  • Familiarity with data from EMRs, Revenue Cycle, and Patient Accounting Systems.
  • Working knowledge of relational databases; SQL experience highly preferred.
  • Bachelor's or Master's degree in IT, Computers, Health Informatics, Bioinformatics, Finance, or a related field.
  • Proven ability to work independently, prioritize effectively, and deliver results under pressure.
  • Experience conducting ROI or financial analysis for healthcare technology projects.

Salary (Rate): undetermined

City: undetermined

Country: USA

Working Arrangements: remote

IR35 Status: outside IR35

Seniority Level: undetermined

Industry: IT

Detailed Description From Employer:

We are seeking a Sr. Business Systems Analyst (BSA) to support the Revenue Cycle and Claims domain for a hospital (Provider) ecosystem. The ideal candidate will play a pivotal role in analyzing data flows, understanding business processes, and delivering technology solutions that enhance operational efficiency across Registration, Scheduling, Billing, and Accounting.

Key Responsibilities:

  • Collaborate with stakeholders to gather, define, and document both current and future business and data needs.
  • Perform data mapping of clinical, revenue cycle, and claims information into normalized models for Hospital Revenue and Claims data.
  • Act as a subject matter expert (SME) on revenue cycle domains (e.g., Registration, Scheduling, Billing).
  • Support data-driven use cases by building robust and scalable data concepts.
  • Conduct data validation and quality testing to ensure standards compliance and accuracy.
  • Evaluate existing business processes and recommend changes aligned with system integration goals.
  • Participate in solution design and implementation across multiple platforms and teams.
  • Conduct financial analysis including ROI to prioritize and fund projects.
  • Support cross-functional teams to optimize workflow consistency and quality.
  • Stay current with healthcare industry trends and apply them to improve processes.
  • Identify improvement opportunities, providing actionable recommendations.
  • Monitor project tasks to ensure timely delivery, scope alignment, and quality compliance.
  • Proactively escalate unresolved project or process challenges.

Required Qualifications:

  • Min of 10 years of IT experience as a Business Systems Analyst, or Data Product Owner
  • Minimum 3 years of experience in a Provider (Hospital) environment for Revenue Cycle or Claims analyst role within a hospital setting.
  • Solid understanding of clinical, billing, and claims workflows in both ambulatory and acute care settings.
  • Familiarity with data from EMRs, Revenue Cycle, and Patient Accounting Systems.
  • Working knowledge of relational databases; SQL experience highly preferred.
  • Bachelor s or Master s degree in IT, Computers, Health Informatics, Bioinformatics, Finance, or a related field.
  • Proven ability to work independently, prioritize effectively, and deliver results under pressure.
  • Experience conducting ROI or financial analysis for healthcare technology projects.
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