About this opportunity
Talent Groups lists this Business Systems Analyst with healthcare opportunity in minneapolis, Minnesota. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Elicit, analyze, and document complex business, operational, and system requirements
Translate business problems into functional requirements, workflows, process models, and user stories
Payment Integrity & Healthcare Domain Analysis
Analyze healthcare claims, provider billing patterns, member utilization, and payment integrity opportunities
Support initiatives focused on preventing improper payments and reducing financial leakage
Collaborate with SMEs to understand clinical and non-clinical claim scenarios
Translate business risks and operational challenges into AI-ready business requirements
Define business rules, signals, thresholds, and intervention logic supporting AI-enabled workflows
Partner with Data Science teams to define model inputs, outputs, business validation criteria, and success measures
10+ years of Business Analysis / Business Systems Analysis experience
Strong U.S. Healthcare experience working with all Lines of businesses
Experience supporting AI, advanced analytics, or intelligent automation initiatives
Healthcare claims processing and adjudication knowledge
Knowledge of lifecycle of a claim is a “MUST”. Claims processing is an added advantage
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Worksite address
minneapolis, MN, 55400, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.