Overview:

The Senior Data/Business Systems Analyst will play a key role in driving data-focused initiatives within the healthcare payor domain. This role requires deep techno‑functional expertise across payor data, including claims, population health, and industry data standards. The analyst will work extensively with SQL, Oracle, and modern data platforms to evaluate incoming data files, support ingestion processes, and develop clear functional requirements across the full SDLC and Agile lifecycle—from concept and design through testing and deployment. Success in this role requires strong analytical capabilities and substantial experience within the healthcare insurance sector.

Position Description:

·         50% Create Documentation like Functional specifications and creating source to target mappings

·         50% Advanced SQL skills for data analysis and profiling

·         Validate payer data, including claims, membership, provider, and clinical datasets.

·         Work with data governance and business teams to resolve data quality issues.

·         Participates in estimation efforts to formulate and define the scope of IS team deliverables.

·         Participates in the change management process playing a lead role as needed. 

·         Resolves conflicting/competing needs from different areas of the business, tactfully, and in a way that satisfies all parties.

Requirements

Required Skills

·         5+ years healthcare payer or payor experience (member, claims, provider, etc.) in a techno functional role. Solid understanding of data governance practices, PII compliance, and data quality frameworks. Understand how processing of data happens in healthcare (could be FACETS, could be PII, EDI transactions, any of the healthcare data flow processes).

·         Experience creating Source-to-Target mapping

·         Data Analytics experience with large data sets. Data Profiling, Analysis

·         Knowledge of standard industry deliverables such as RTMs, FMEAs, and business process maps.

·         Build the bridge between IT and the customer. Translate the IT technical requirements to the business.

·         In depth understanding of ETL technologies from a BSA perspective.

·         Understand the data on the business side of things. Very well versed on the business side

·         Any Cloud experience - we are on Azure (preferred), but AWS and GCP are also acceptable

·         Understand the IT change process and SDLC methodologies (Agile, Scrum, Waterfall) - how does a code get deployed. Analytics will just build and push to production - but IT has a very specific change process to follow.

·         Great attitude

·         8+ years of professional experience focused on business/data analysis, project leadership, and process optimization.

·         Very strong SQL expertise with the ability to design and optimize complex queries a must

·         Familiarity with BI/reporting tools such as Power BI or Tableau for validating reporting outputs a must

·         Understanding of data governance platforms (e.g., Collibra, IDQ, Informatica, or similar).

·         Deal with challenging stakeholders - this is a business facing role.

Bonus Skills:

·  Azure Data Factory

·  Advanced proficiency with Azure Databricks (Delta Lake, Delta Live Tables, Unity Catalog)