UST HealthProof · 2 weeks ago
Healthcare Business Systems Analyst
United States
Full-time
Remote
Senior Level, Lead/Staff
$80K/yr - $100K/yr
10+ years expUST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. The Business Systems Analyst will lead and manage end-to-end business requirements, ensuring clarity and alignment throughout the implementation lifecycle while translating healthcare business needs into functional and technical requirements.
Hospital & Health Care
Responsibilities
Lead and manage end-to-end business requirements across all stakeholders, ensuring clarity and alignment throughout the implementation lifecycle
Drive requirements elicitation sessions with customers, internal teams, product owners, and solution architects
Document business and functional requirements across Claims, Enrollment, Provider, Authorization, and Payment systems
Translate healthcare business needs into functional and technical requirements, ensuring alignment with HealthProof’s core-admin ecosystem
Identify customer needs and work with Solution Architects to develop scalable, effective solutions
Qualification
Required
Bachelor's degree or higher in a business or technical field, or equivalent experience
10+ years of experience in business analysis with strong exposure to healthcare payer operations
Deep knowledge of healthcare domains including Medicare, Medicare Advantage, Medicaid, ACA, or Commercial
Experience with healthcare payer platforms such as HealthEdge, TriZetto, NASCO, Advantasure, or Change Healthcare
Strong experience mapping EDI healthcare transactions including 837, 834, 835, 270/271, 276/277, and 278
Experience analyzing and translating business requirements into functional and technical specifications, including TR3/companion guide interpretation
Experience with Agile methodologies and tools, preferably Jira or ServiceNow
Clear, professional communication skills for working with peers, customers, and partners
Experience documenting requirements and user stories and collaborating with technical teams
Experience working in an onshore/offshore delivery model is required
Understanding of SQL and XSDs is a plus
Preferred
PMP certification preferred
Experience with HealthEdge applications such as HealthRules Payor or GuidingCare preferred
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
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