Sr System Analyst, Healthcare Financials
Core
Translate complex healthcare billing requirements into configurable system rules to operationalize the financial engine for accurate billing and claim generation.
Role type
Senior System Analyst (Healthcare Financials)
Builds
Configurable billing rules, payer-specific configurations, charge logic, and automated workflows for healthcare billing.
Domain
Healthcare / Financial Systems / Billing Operations
Deliverable
production ML models | product features | dashboards & analysis
Required skills
System analysis, business analysis, functional specifications, SQL, accounting documentation, stakeholder communication, data analysis, process automation, rules-based configuration, scalable process design, QA validation
Preferred skills
Process improvement with automation, configurable systems (billing platforms, rules engines), healthcare billing standards (CPT/ICD coding, fee schedules, payer adjudication rules)
Technologies
SQL, billing platforms, rules engines
Responsibilities
Partner with billing operations, finance, and clinical stakeholders to translate requirements into functional specifications; Define and maintain billing rules, payer configurations, and charge logic; Use data analysis to identify billing defects and revenue leakage; Build reporting and monitoring to validate system behavior; Identify opportunities to replace manual workflows with automation; Design scalable processes for new service lines and payer contracts; Work with engineering to ensure requirements are implementable and testable
Seniority
Senior, hands-on IC
