85 systems analyst jobs found

Aledade The Business Analyst, Payments is a critical member of the Payments Solutions team responsible for translating complex payment operations needs into clear, actionable technical and process requirements. This role will focus on accelerating data automations into QuickCap and the Corporate Cash Flow (CCF) / payments data stack, and eliminating manual handoffs between Payments, Finance, and Enterprise Applications. Additionally, this role will be a key contributor in a separate initiative to select and implement a second payment solution for non-claims-based payments. Working closely with the Senior Director, Payments Solutions, Corporate Systems (e.g., QuickCap, NetSuite), and Finance partners, the Business Analyst will design and document endtoend workflows, support data mapping and reconciliation requirements, and contribute to the delivery of scalable payment capabilities for over 20 different payment types that will help Aledade grow to $2B+ in annual practice...

Aledade The Enterprise Data Architect is a strategic leadership role responsible for the design and evolution of Alledade's Master Data Management (MDM) strategy and the architecture of our Business Data Warehouse. This role addresses the critical challenge of linking fragmented data across the customer lifecycle-from initial prospecting in Salesforce to contract management in Ironclad, through to operational and financial setup in Keystone, NetSuite, and QuickCap. As a Level 8 leader, you will move the organization away from manual, siloed data entry toward an automated, unified "Single Source of Truth." By leveraging our existing investments in Snowflake, DataHub, and MuleSoft, you will design the framework that allows the Business Intelligence (BI) team to extract high-value insights regarding revenue, performance, and overall organizational success. Primary Duties Enterprise Data Strategy & MDM Design MDM Architecture: Design the strategy and logical architecture...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Business Analyst will have the responsibility to ensure that the business's need for changes to processes, policies and/or information systems are identified, understood, defined, documented and acted upon by eliciting, analyzing, documenting, validating, specifying and verifying the needs of business or user. The incumbent assists in the gathering and synthesizing of business requirements for low complexity software, systems, processes and/or services and translates them into specifications ensuring the business objectives are met. As the functional expert, the incumbent serves as the conduit between the business area and the technical or software development team through which requirements flow. ESSENTIAL FUNCTIONS: Interpret business needs and issues by gathering, eliciting, analyzing, documenting and validating the Business area?s user and technical (functional/non-functional) requirements....

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Responsible for maintaining admin rates, preparing and delivering invoices to bring in revenue for the organization. This includes establishing and following required technical specifications, managing the accuracy and efficiency of the established process as well as identifying and resolving data and setup issues as it relates to internal billing systems. The incumbent is also responsible for remitting payment to client vendors within proper timeframes to ensure late fees are not charged. ESSENTIAL FUNCTIONS: Compiles, validates and supports financial data for upload to financial systems to ensure accuracy of financial statements. Establishes and maintains comprehensive Excel spreadsheets for cash application and reconciliation to daily bank statements to ensure the bank and internal financial systems are in sync. Audits ancillary vendor payments to ensure accuracy of remittances. This involves...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Regulatory Compliance Analyst will conduct independent analysis for complicated, high level regulatory inquiries and provide interpretation of regulatory rules and guidelines to demonstrate compliance with state and federal requirements. ESSENTIAL FUNCTIONS: Provide interpretation of regulations and regulatory rules/guidelines to ensure compliance with state and federal requirements. Review and analyze all data received to generate comprehensive written responses to the originating party. Strategize with Legal and Compliance as needed to identify the best response to the complaint. Maintain positive, responsive, respectful relationships with all regulators. Occasional external contact with Regulatory Agency Investigators. Identifies potential volatile activity by gathering and analyzing regulated organizational data. Research, resolve and respond to written and telephone inquiries received....

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Senior Business Analyst will have the responsibility to ensure that the business's need for changes to processes, policies and/or information systems are identified, understood, defined, documented and acted upon by eliciting, analyzing, documenting, validating, specifying and verifying the needs of business or user. The incumbent is accountable for the gathering and synthesizing of business requirements for moderate complexity software, systems, processes and/or services and translates them into specifications ensuring the business objectives are met. As the functional expert, the incumbent serves as a strategic conduit between the business area and the technical or software development team through which requirements flow. ESSENTIAL FUNCTIONS: Interprets business needs and issues by gathering, eliciting, creating, analyzing, documenting and validating the Business areas user and/or technical...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Responsible for maintaining admin rates, preparing and delivering invoices to bring in revenue for the organization. This includes establishing and following required technical specifications, managing the accuracy and efficiency of the established process as well as identifying and resolving data and setup issues as it relates to internal billing systems. The incumbent is also responsible for remitting payment to client vendors within proper timeframes to ensure late fees are not charged. ESSENTIAL FUNCTIONS: Compiles, validates and supports financial data for upload to financial systems to ensure accuracy of financial statements. Establishes and maintains comprehensive Excel spreadsheets for cash application and reconciliation to daily bank statements to ensure the bank and internal financial systems are in sync. Audits ancillary vendor payments to ensure accuracy of remittances. This involves...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE The Senior Analyst, FP&A Workforce Planning & Operations Analytics develops longrange operational forecasts, workforce capacity models, and analytical tools that guide staffing, budgeting, and servicelevel decisions. The role combines financial planning, data analytics, and workforce modeling to deliver clear insights that optimize staffing and labor costs. This position is ideal for a datasavvy analyst looking to deepen FP&A and operational strategy experience while applying advanced technical skills (SQL, Excel, Python, Power BI, MS Fabric/Azure) ESSENTIAL FUNCTIONS: Forecasting & Demand Modeling: Develop driver-based demand forecasts using enrollment, product changes, seasonality, regulatory shifts, digital adoption, and other operational trends/drivers. Translate business growth (membership, product launches, group movement) into actionable operational workload across all teams in...

Transamerica Job Family Finance - General About Us At Transamerica, hard work, innovative thinking, and personal accountability are qualities we honor and reward. We understand the potential of leveraging the talents of a diverse workforce. We embrace an environment where employees enjoy a balance between their careers, families, communities, and personal interests. Ultimately, we appreciate the uniqueness of a company where talented professionals work collaboratively in a positive environment - one focused on helping people look forward and plan for the best life possible while providing tools and solutions that make it easier to get there. Who We Are We believe everyone deserves to live their best life. More than a century ago, we were among the first financial services companies in America to serve everyday people from all walks of life. Today, we're part of an international holding company, with millions of customers and thousands of...

CareFirst BlueCross BlueShield Salary Range Disclaimer The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). Department Data Governance Equal Employment Opportunity CareFirst...

Aledade As a Senior Agile Specialist you will partner with business stakeholders and technical teams to lead complex business analysis initiatives while facilitating Agile delivery. This role is responsible for translating business needs into clear, actionable requirements, driving stakeholder alignment, and enabling predictable, high-quality delivery through effective Scrum practices. You will facilitate Agile ceremonies, coach teams on Scrum principles, remove impediments, support backlog refinement, and promote continuous improvement to help teams deliver value efficiently and consistently. Primary Duties Support business analysis and stakeholder alignment by eliciting requirements, translating needs into clear user stories, and ensuring solutions align with business goals and technical constraints Facilitate agile delivery and team effectiveness by leading Scrum ceremonies, coaching on Scrum principles, removing impediments, and fostering accountability,...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Senior Business Analyst will have the responsibility to ensure that the Medicare Pharmacy business's need for changes to processes, policies and/or information systems are identified, understood, defined, documented and acted upon by eliciting, analyzing, documenting, validating, specifying and verifying the needs of business or user. The incumbent is accountable for the gathering and synthesizing of business requirements for moderate complexity software, systems, processes and/or services and translates them into specifications ensuring the business objectives are met. As the functional expert, the incumbent serves as a strategic conduit between the business area and the technical or software development team through which requirements flow. ESSENTIAL FUNCTIONS: Interprets Medicare Pharmacy business needs and issues by gathering, eliciting, creating, analyzing, documenting and validating the...

Open Systems Technologies Corporation Open Systems Technologies Corporation is a leader in the government contracting marketplace, providing Enterprise Security and Cloud Computing solutions to support large organizations. Our capabilities include supplying federal government entities and private businesses with software development, scientific and engineering technical assistance, systems integration, and enterprise security. Since its founding in 1996, OST has been committed to delivering high-quality, best-in-class results that bring added value to our clients while investing in our employees’ futures by providing exciting projects to work on, and robust benefits to include technical training and certifications, relocation assistance and a 401K match with immediate vesting. Open Systems Technologies is seeking a Solution Train Engineer to support a nationally significant and fast-paced program. An experienced, energetic Solution Train Engineer (STE) is needed to...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Utilizes data analytics and contributes to a set of business initiatives designed to help business partners extract value from information. Develops data visualizations for analysis, problem-solving, and business solutions. We are not looking for generalists who may have an IT background and various credentials like Scrum, Agile, etc. We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables that week ESSENTIAL FUNCTIONS: Mines and extracts data and applies algorithms to derive insights. Contribute to the analytics, reporting and data governance activity related to Cost of Care Reporting, including Ideation support,...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Utilizes data analytics and contributes to a set of business initiatives designed to help business partners extract value from information. Develops data visualizations for analysis, problem-solving, and business solutions. We are not looking for generalists who may have an IT background and various credentials like Scrum, Agile, etc. We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables that week ESSENTIAL FUNCTIONS: Mines and extracts data and applies algorithms to derive insights. Contribute to the analytics, reporting and data governance activity related to Cost of Care Reporting, including Ideation support,...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: We're hiring for a Manager, Data Analytics - Value-Based Care Reporting on the Health Economics and Reporting team at CareFirst! Purpose of the Manager, Data Analytics is to execute business objectives with data and ensure alignment with the vision of the company. Individual will organize the technology, processes and financial resources necessary to address the current and future analytics needs of the business. Provides thought leadership and acts as a subject matter expert in the designing and recommending of appropriate analytical approaches and methodologies. Provides management responsibility into data-driven insights that inform the business's strategic direction. We are looking for an experienced professional to live and work remotely from within the greater Baltimore/Washington metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training...

CareFirst BlueCross BlueShield Resp & Qualifications We're hiring for a Manager, Data Analytics - ID/STRAT and Program Evaluation on the Health Economics and Reporting team at CareFirst! Over the last few years, we have been busy building the capacity for broader Cost of Care management at CareFirst, and for 2026 and beyond, we are looking for individuals that can help in a variety of analytic domains to act as a "force multiplier" and enable our Health Services team and broader enterprise with the data and insights needed to build better programs and operations at our plan. PURPOSE: Purpose of the Manager, Data Analytics is to execute business objectives with data and ensure alignment with the vision of the company. Individual will organize the technology, processes and financial resources necessary to address the current and future analytics needs of the business. Provides thought leadership and acts as a subject matter expert in the designing and recommending of...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Purpose of the Manager, Data Analytics is to execute business objectives with data and ensure alignment with the vision of the company. Individual will organize the technology, processes and financial resources necessary to address the current and future analytics needs of the business. Provides thought leadership and acts as a subject matter expert in the designing and recommending of appropriate analytical approaches and methodologies. Provides management responsibility into data-driven insights that inform the business's strategic direction. We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables that week. We are not looking for...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Payment Integrity Analyst is responsible for conducting research and analysis and reviewing billing requirements, provider manuals, medical policies, and other sources as needed to identify new overpayment concepts, as well as validate all prospective and retrospective overpayment results; communicating findings to the Payment Integrity Workgroup and Management. The incumbent will be responsible for assessing and implementing new technology and recommend improvement to existing processes. In addition, they will be responsible for providing thorough analysis on their findings. ESSENTIAL FUNCTIONS: Identifies, develops, and implements new concepts that will target claim overpayment scenarios. Performs analysis on claims, provider data, enrollment data, medical policies, claim payment policies for payment integrity concepts for recovery opportunities. Performs analysis of business unit data and...

CareFirst BlueCross BlueShield Resp & Qualifications CANDIDATES MUST LIVE IN THE MD, DC, NORTHERN VA AREA IN ORDER TO TRAVEL INTO THE OFFICES AND FOR CLIENT MEETINGS AND STAFF MEETINGS. ACTIVE HEALTH AND LIFE LICENSE IS REQUIRED. PURPOSE: This position is responsible for renewing/growing a book business which includes more complex accounts with indemnity and managed care medical products, ancillary/specialty products, and life products. You will be working with Public Sector accounts with various funding arrangements and plan sponsors within state, municipal and school boards ranging in girth from 100 to 100,000+ contracts. This position drives revenue and manages current and prospective relationships to ensure success with products. Leads sales initiatives and strategies within their assigned territory. Achieves sales and profitability objectives by effectively managing new and existing accounts. ESSENTIAL FUNCTIONS: Ensures that each assigned account...