What are the responsibilities and job description for the Sr IT Business Analyst position at HealthEZ?
The Opportunity
We are seeking a Senior Business Analyst with deep experience in the healthcare domain to join our technology and operations team. This individual must be able to step into active initiatives immediately, translate complex operational and regulatory healthcare requirements into clear technical solutions, and drive execution across cross-functional teams.
This role requires a consultative, systems-minded analyst who understands healthcare workflows, eligibility, claims, funding, provider data, and regulatory considerations, and who can work directly with architects, developers, and business stakeholders to design and deliver solutions.
The ideal candidate has experience in TPA, payer, or health plan environments and is comfortable working across custom applications, APIs, data integrations, and vendor platforms.
What you'll do
- Rapidly understand our current healthcare systems, workflows, and integrations
- Work directly with operations, member experience, claims, eligibility, and provider teams to gather real requirements
- Translate healthcare business processes into clear functional and technical requirements
- Partner with architects and developers to design solutions across:
- Member systems
- Claims and eligibility platforms
- Secure messaging and member/provider communications
- Vendor integrations and APIs
- Identify gaps in workflows, system design, and data movement
- Lead requirement workshops and whiteboarding sessions
- Produce high-quality artifacts:
- Process maps
- Data flow diagrams
- Use cases and user stories
- Drive projects from concept through delivery and validation
- Act as a bridge between healthcare operations and IT
- Anticipate downstream impacts of configuration, benefit design, and data structures
Assist in rationalizing legacy processes into modern system approaches
Qualifications:What we expect from you
- 8 years as a Business Analyst
- 5 years in healthcare payer, TPA, or health plan environment
- Strong understanding of:
- Eligibility and enrollment
- Claims processing
- Funding and finance
- Benefits configuration
- Experience working with:
- Custom software teams
- APIs and system integrations
- SQL/data analysis
- Vendor systems and platform integrations
- Ability to read and understand technical architecture and data models
- Experience writing requirements that developers can build from without ambiguity
- Comfortable working in environments without heavy structure or bureaucracy
- Experience in Agile/Scrum environments
Highly Preferred
- Experience in a TPA environment
- Experience with VBA, claims engines, or benefit rule systems
- Experience with member portals, secure messaging, or healthcare communications
- Experience working with vendors and clearinghouses
- Understanding of HIPAA and PHI data handling in system design
- Experience modernizing or integrating legacy healthcare systems
- Familiarity with Azure environments and modern web stacks
We make healthcare EZ!
Additional Opportunity Details:
Target Base Compensation Range for this role is $110,000-$140,000*
*Factors that may be used to determine your actual salary include your job specific skills, education, training, job location, number of years of experience related to this role and comparison to other employees already in this role. *
Employee benefits are part of the competitive total rewards package that HealthEZ provides to you. Our comprehensive benefits program includes health benefits, retirement plan (401k), paid time off, paid leave including parental leave and more.
HealthEZ recognizes its responsibilities under federal, state and local laws requiring non-discriminatory employment practices. All employment decisions, practices and procedures will be carried out without regard to race, color, creed, religion and sex (including pregnancy), sexual orientation, national origin or ancestry, age, marital status, disability, family status, status with regard to public assistance or any other characteristic protected under applicable local, state and federal laws.
HealthEZ is proud to be an equal opportunity employer.
Salary : $115,000 - $140,000