Note: The job is a remote job and is open to candidates in USA. O2 Technologies, Inc. is seeking a Business Systems Analyst to support healthcare payer and insurance-related business systems. The role focuses on Medicare and ACA Exchange analysis, requirements documentation, testing, production support, stakeholder communication, regulatory reporting, and healthcare data and transaction processing.
Responsibilities
- Medicare & ACA Exchange Business Analysis
- Encounter Processing Knowledge
- Healthcare Payer Operations
- Requirements Gathering & Documentation
- Test Planning & Execution
- Production Support & Issue Resolution
- Stakeholder Management & Communication
- Agile & Waterfall SDLC Expertise
- Regulatory Reporting (ACA/CMS EDGE)
- 837 Transaction Knowledge
- EDI / X12 Transaction Expertise
- Vendor-Managed Healthcare Solutions Knowledge
Skills
- • Medicare & ACA Exchange Business Analysis
- • Encounter Processing Knowledge
- • Healthcare Payer Operations
- • Requirements Gathering & Documentation
- • Test Planning & Execution
- • Production Support & Issue Resolution
- • Stakeholder Management & Communication
- • Agile & Waterfall SDLC Expertise
- • Regulatory Reporting (ACA/CMS EDGE)
- • 837 Transaction Knowledge
- • EDI / X12 Transaction Expertise
- • Vendor-Managed Healthcare Solutions Knowledge
- • Advanced SQL (Source-to-Target Mapping, Data Validation)
- • Azure DevOps / Jira / ServiceNow
- • ETL & Data Integration Tools
- • Interface Mapping
- • Healthcare Platforms (QNXT / Facets / HealthRules / Trizetto EDM)
- • Reporting & Analytics Tools (Tableau / Power BI)
- • AI-Assisted Analysis Tools
- Bachelor's Degree in Business Administration, Health Informatics, Healthcare Management, Computer Science, Information Systems
- • Healthcare / Payer
- • Medicare
- • ACA Exchange
- • Healthcare IT
- • Health Insurance
- Preferred: MBA, Master's in Health Informatics, Master's in Public Health (MPH), Master's in Data Analytics
Company Overview
Company H1B Sponsorship