Salesforce Developer

Data Manipulation Acceptance Testing Business Valuation Root Cause Analysis Business Operations Technology Solutions Business Requirements Performance Reporting Operational Reporting Full Stack Development Artificial Intelligence Development Environment Business Transformation Requirements Elicitation Business Systems Analysis SQL (Programming Language) Python (Programming Language)

Salesforce Admin, The Business Analyst will support OHI operations and serve as a bridge between business operations, IT, claims, and UAT teams. This person will be responsible for supporting production operations, identifying and documenting issues, performing root cause analysis, supporting business validation, and ensuring that technology solutions align with business needs.

This role is more than a traditional requirements-writing position. The ideal candidate must be comfortable working in a live production environment, handling complex healthcare operational processes, analyzing data, mapping data, and working closely with technical teams to resolve issues. They will also support testing efforts by reviewing test plans, validating UAT outcomes, and providing business sign-off when appropriate., Coaching Medicare Operations Communication Data Analysis Test Planning TriZetto QNXT Detail Oriented Decision Making Payment Systems Project Scoping Ad Hoc Reporting Support Services Agile Methodology Critical Thinking Business Analysis Data Manipulation Acceptance Testing Business Valuation Root Cause Analysis Business Operations Technology Solutions Business Requirements Performance Reporting Operational Reporting Full Stack Development Artificial Intelligence Development Environment Business Transformation Requirements Elicitation Business Systems Analysis SQL (Programming Language) Python (Programming Language) +0

Google Business Intelligence

Google IT Support

Salesforce Admin

Salesforce Developer Sr. Technical Business Analyst - Inbound TEKsystems

Virginia Beach, VA*Remote

Medicaid Operations Communication Process Mapping Systems Analysis Agile Methodology Data Flow Diagram Business Valuation Root Cause Analysis Inventory Management Performance Reporting Full Stack Development Stakeholder Management Artificial Intelligence Business Transformation Six Sigma Certification SQL (Programming Language) Business Process Automation Systems Development Life Cycle Troubleshooting (Problem Solving) +0

Google Business Intelligence

Salesforce Admin EPIC Revenue Cycle Analyst - Front End TEKsystems

Chesapeake, VA*On-Site

Billing Medicare Medicaid Power BI Operations Leadership Epic Prelude Epic Cadence Communication Data Analysis Reporting Tools Systems Analysis Business Analysis Business Valuation Workflow Management Full Stack Development Stakeholder Engagement Performance Improvement Artificial Intelligence Business Transformation Revenue Cycle Management SQL (Programming Language) End-User Training And Support Cross-Functional Collaboration Troubleshooting (Problem Solving) Tableau (Business Intelligence Software) +0

Google IT Support

Salesforce Admin

Coaching Medicare Operations Communication Data Analysis Test Planning TriZetto QNXT Detail Oriented Decision Making Payment Systems Project Scoping Ad Hoc Reporting Support Services Agile Methodology Critical Thinking, This BSA will be supporting a team dedicated to our client's enrollment support services as part of a major implementation project. As they integrate Avmed for their Medicare and commercial lines of business, this person will be responsible for member fulfillment activities throughout the implementation (specifically member ID cards and member materials). This position requires superb critical thinking skills, attention to detail, communication, and ability to coordinate and interface with cross-functional teams.

The Sr. BSA will perform activities that provide business solutions to complex organizational initiatives and should demonstrate an extensive expertise in the claims platform and all interfacing applications, both customized and packaged. This individual should possess a high degree of expertise in the business requirements that support reimbursement policies and methodologies of the organization, as well as perform complex data analysis and draw business conclusions for decision-making. The analyst should consider interdepartmental impact when recommending and implementing solutions. Responsibilities include but are not limited to gathering business requirements, root cause analysis, interpretation of requirements, data manipulation and reporting (SQL, Python), ad- hoc reporting and documentation. In addition, the Sr. Business Systems Analyst will be responsible for managing configuration projects, coaching junior analysts and for preparing metric performance reports for the department. He or she will work with peers in the department to establish realistic project scope, project plans and timelines.

Skills

sql, python, agile, jira, QNXT, Reporting, Requirements gathering, Business analysis, Data analysis, Claims, Member Enrollment, ID Cards, Member Materials

Top Skills Details

sql,python,agile,jira,QNXT,Reporting,Requirements gathering,Business analysis,Data analysis,Claims,Member Enrollment

Additional Skills & Qualifications

Bachelor's degree required

Preferred fields may include:

Business

Information Systems

Healthcare Administration

Related field

Approximately 7+ years of experience preferred, but not required

Experience working in healthcare payer operations or claims environments

Ability to communicate production issues clearly to IT and business stakeholders

Experience reviewing and approving test plans

Ability to validate UAT outcomes and provide business sign-off

Secondary Skills / Nice to Haves

Knowledge of OHI operations is a strong plus

Experience with QNext, the claims payment system, is a definite plus

Familiarity with claims payment processes

Prior experience supporting complex healthcare processes

Experience working with reporting teams or operational reporting needs

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company., We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records. Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools. Related Jobs