Senior Business System Analyst

City/State

Work Shift

This position is responsible for the support, enhancement, and implementation of software applications used within the organization. The role oversees and directs intermediate-scale projects or components of larger initiatives and supports the development and implementation of reporting and analytics solutions.

This role supports clinical operations across multiple lines of business, including Utilization Management (UM) and Case Management (CM), by delivering reporting, analytics, and quality initiative support to improve clinical outcomes and operational efficiency.

The position provides advanced analytical insights, identifies data and reporting gaps, develops dashboards and reports, and partners closely with clinical, operational, and IT stakeholders.

This role serves as a bridge between clinical operations and IT, translating business and clinical requirements into effective reporting, analytics, and technology solutions. The analyst will support report enhancements, cross-functional reporting alignment, and large-scale clinical program initiatives.

Success in this role requires strong analytical and problem-solving skills, effective communication and stakeholder management, and the ability to work independently while supporting complex operational analytics and decision-making.

• Bachelor’s Degree required
• Master’s Degree preferred

• No specific certification or licensure required

• Minimum 3 years of healthcare experience required
• Experience in project management and analytics required
• Experience supporting Utilization Management, Case Management, DSNP, or other clinical/health plan operations preferred
• Experience working with reporting tools and dashboards; SQL exposure preferred
• Demonstrated ability to translate clinical and operational requirements into analytics and reporting solutions
• Strong experience partnering with stakeholders across clinical operations, business, and IT teams
• Experience with healthcare reporting, clinical applications, data analysis, or quality initiatives preferred
  
  

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.