AmeriHealth CaritasRemote
MDM / ERDM Business Systems Analyst Senior
United States of America
Full Time
1 month ago
No H1B
Key skills
Master Data ManagementEnterprise Reference Data ManagementSQLDatabricksData AnalysisMDM Tools - InformaticaMDM Tools - ReltioMDM Tools - SAS DataFluxMDM Concepts - Match-and-Merge RulesMDM Concepts - Survivorship CriteriaMDM Concepts - Validation LogicHealthcare EnvironmentMCO/Payer ExperienceProvider ContractingMember Enrollment ServicesFACETS Claims SystemRequirements ManagementBusiness AnalysisTest Plan ReviewIntegration TestingUser Acceptance TestingStakeholder ManagementCommunicationProblem Solving
About this role
AmeriHealth Caritas is a mission-driven organization with over 30 years of experience in healthcare solutions. They are seeking a Business Systems Analyst Senior to provide ongoing business analysis support in the Master Data Management (MDM) and Enterprise Reference Data Management (ERDM) areas, acting as a subject matter expert and liaison between business and technical teams.
Responsibilities:
- Leads the requirements management process for change requests/enhancements or projects pertaining to MDM/ERDM area
- Provides clear documentation on business & technical requirements, source to target mappings, data specifications, business rules, and process flows relevant to MDM/ERDM initiatives
- Perform hands on data analysis using SQL, Databricks, and related querying tools to validate data, research & troubleshoot data discrepancies, conduct root cause analyses and gap analysis
- Act as liaison between the business and IS technical teams, leading the definition of functional requirements, explaining changes to business processes, and continually communicating status. Serves as an expert advisor to the IS team regarding the business to ensure the effort meets business needs
- Proactively identifies opportunities for process/system enhancement/improvement and brings to the attention of management and business, as appropriate. Identifies potential opportunities to automate existing processes
- Provides accurate time/resource estimates for assigned tasks by proactively managing ambiguous business needs and scope creep
- Reviews test plans and scripts for completeness and accuracy, and conducts integration testing and user acceptance testing (UAT)
- Demonstrates strong problem solving skills, including evaluating alternatives, recommending solutions, and articulating impacts
- Track the status of all service requests, open incidents and change tickets from initiation through resolution, adhering to strict SLA timelines
- Facilitate meetings with business stakeholders and technical counterparts
Requirements:
- A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required
- At least five (5)+ years in business systems analysis, with specialized experience in Master Data Management
- At least five (5)+ years in a healthcare environment
- Must have MCO/ Payer experience on Provider contracting & maintenance, Member enrollment services
- Proficiency in data analysis using SQL, Excel and experience with MDM tools (e.g Informatica, Reltio, SAS DataFlux)
- Knowledge of MDM concepts like defining match-and-merge rules, survivorship criteria, and validation logic to maintain golden records
- Ability to function independently with limited work direction
- Excellent communication, stakeholder management, and ability to translate technical concepts for business users and vice-versa
- Previous experience working with FACETS claims system