Business Systems Analyst

Optum is a global organization that delivers care aided by technology to help people live healthier lives. The Business Systems Analyst will support the Medical Expense team by analyzing business needs, defining requirements, validating data and systems, and coordinating cross-functional delivery of reporting and operational solutions. The role will also develop subject matter expertise, support testing and issue resolution, and drive process improvements.

Responsibilities:

• Partner with Med. Expense stakeholders to gather, analyze, and document business, functional, reporting, and system requirements
• Serve as a business systems liaison between finance, accounting, actuarial, technology, operations, and reporting teams
• Support end-to-end analysis of medical expense data workflows, including intake, reconciliation, validation, issue resolution, and downstream reporting impacts
• Translate business needs into clear requirements, process flows, user stories, acceptance criteria, test scenarios, and implementation documentation
• Perform data analysis, root cause analysis, and impact assessments to support issue resolution, process improvement, and operational decision-making
• Support system enhancements, data integrations, reporting updates, and process changes through requirements definition, testing, validation, deployment readiness, and post-implementation support
• Develop and maintain detailed documentation, including business requirements, process maps, validation methodology, test results, controls, decisions, and version history
• Coordinate with internal stakeholders to support prioritization, scheduling, delivery timelines, data quality expectations, and business readiness activities
• Identify process improvement opportunities, recommend practical solutions, and help drive standardization, consistency, and operational excellence across Med. Expense processes
• Communicate technical, operational, and analytical findings clearly to both technical and non-technical audiences
• Support audit readiness, control documentation, and compliance-related activities as needed
• Promptly respond to service issues, resolve problems within scope, and escalate risks, blockers, or concerns as appropriate

Requirements:

• 4+ years of experience in a business analyst, business systems analyst, data analyst, accounting / finance operations, or comparable role
• 4+ years of experience gathering, analyzing, and documenting business requirements, functional requirements, reporting requirements, and system requirements across multiple stakeholders
• Experience creating and maintaining data dictionaries, field definitions, business rules, source-to-target mapping documentation, data lineage, and transformation requirements
• Experience documenting current-state and future-state workflows, process flows, decision points, handoffs, controls, and operational impacts
• Experience developing or supporting test plans, test scenarios, test cases, user acceptance testing, defect tracking, validation documentation, and business sign-off activities
• Experience analyzing data, identifying trends or variances, performing root cause analysis, and preparing information for business decision-making
• Experience supporting project delivery activities, including planning, prioritization, status communication, issue tracking, and meeting timeline commitments
• Proven working knowledge of standard business applications, Microsoft Office Suite, SharePoint, and collaboration tools
• Intermediate to advanced proficiency with Excel, including formulas, lookups, pivot tables, conditional formatting, and data validation techniques
• Solid oral and written communication skills with the ability to explain complex information clearly
• Highly organized with solid attention to detail and follow-through
• Analytical mindset with solid critical thinking, problem-solving, and decision-support skills
• Ability to build effective partnerships across functional teams and levels of the organization
• Adaptable and able to manage competing priorities in a fast-paced, deadline-driven environment
• Experience supporting medical expense, healthcare finance, accounting, actuarial, claims, provider, membership, or healthcare operations data
• Experience with data reconciliation, financial controls, audit support, reporting validation, or month-end/close-related processes
• Experience with source-to-target mapping, data transformation rules, interface documentation, reporting specifications, or data integration requirements
• Basic knowledge of SQL or other data query tools, including joins, aggregation, filtering, and data validation concepts
• Experience working in Agile, Waterfall, or hybrid project delivery environments
• Experience creating process documentation, business process flows, data dictionaries, test plans, user stories, or acceptance criteria