UST HealthProof · 6 hours ago
Healthcare Business System Analyst
United States
Full-time
Remote
Mid, Senior Level
$100K/yr - $120K/yr
7+ years expUST HealthProof is a trusted partner for health plans, offering integrated ecosystem solutions for health plan operations. They are seeking a Healthcare Business System Analyst to capture business requirements and implement their core-admin ecosystem, while managing stakeholder communications and developing functional requirements for various healthcare systems.
Hospital & Health Care
Responsibilities
Leading business requirement conversations with customer and internal teams
Managing the end-to-end requirements involving all the stakeholders
Responsible for developing business and functional requirements for Claims, Enrollment, Provider, Authorization, Payment systems
Create solutions for current business processes using HealthProof’s core-admin ecosystem
Negotiate with client to develop processes that are current and applicable to the situation
Qualification
Required
Bachelor's degree or higher in business or technical field
7+ years of relevant work experience in business analysis
Knowledgeable in Healthcare insurance domain (Medicare, Medicare Advantage, Medicaid, ACA or Commercial)
Experience with mapping of EDI healthcare transactions (837, 834, 835,270/271, 276/277, 278)
Experience in analysing the business requirements and translating/mapping them to technical requirements in EDI technology by analysing implementation/companion/TR3 guides
Experience documenting requirements or user stories and communicating the requirements to technical teams, partners/vendors or product teams
Experience working in an onshore/offshore model is a must
Skills & Competencies: Awareness to Agile tools and scrum methodologies
Communication skills with peers, customers, and partners including the ability to convey information effectively
Preferred
Experience working HealthEdge applications like HealthRules Payor or GuidingCare is a plus
Understanding of SQL, XSDs is a plus
Benefits
Full-time, regular employees accrue up to 16 days of paid vacation per year
Receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year)
10 paid holidays
Eligible for paid bereavement leave
Eligible to participate in the Company’s 401(k) Retirement Plan with employer matching
Eligible for medical, dental, and vision insurance
Company-paid benefits: basic life insurance
Accidental death and disability insurance
Short- and long-term disability benefits
May purchase additional voluntary short-term disability benefits
Participate in a Health Savings Account (HSA)
Flexible Spending Account (FSA) for healthcare, dependent child care, and/or commuting expenses
Potential for quarterly incentive-based bonuses and or commissions depending on role
Company
UST HealthProof
UST HealthProof offers risk adjustment, quality programs, and healthcare payer technology services. It is a sub-organization of UST.
501-1000 employees
H1B Sponsorship
UST HealthProof has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (71)
2024 (43)
2023 (31)
2022 (3)
Funding
Current Stage
Late StageTotal Funding
unknown2025-09-04Acquired
Leadership Team
Kevin Adams
Chief Executive Officer
Beth Maxwell
VP Product Delivery and Partnerships
Recent News
2025-12-06
Precedence Research
2025-11-21
2025-11-07
Company data provided by crunchbase