Optum · 11 hours ago
IT Business Analyst - Remote
United States
Full-time
Remote
Mid, Senior Level
$92K/yr - $164K/yr
5+ years expOptum is focused on improving the flow of health data and information to create a more connected system. The IT Business Analyst will act as a liaison between business stakeholders and technical teams, primarily working on the State Base Exchange application, performing root cause analysis, identifying functional requirements, and conducting testing and validation.
EducationHealth CareMedicalPharmaceutical
Responsibilities
Collaborate with client stakeholders, end-users and technical teams to analyze complex production incidents related to eligibility determination, enrollment processing, and carrier integration
Conduct root cause analysis on case-specific discrepancies to determine if issues are data-related, user errors, or system defects
Identify and document functional requirements for system enhancements and defect fixes, ensuring that proposed technical solutions align with business rules and compliance standards
Develop, write, and execute comprehensive test cases for minor enhancements, defect fixes, and major Change Requests
Validate system behavior against expected results to ensure that changes to complex logic (e.g., income calculations or effective date rules) do not introduce defects
Support testing of software releases by defining test scenarios and assisting business stakeholders with execution and defect logging
Participate in a scheduled on-call support rotation to assist with scheduled batch processing activities and high-priority incident resolution
Perform functional checkouts (smoke testing) during evening and weekend maintenance windows to validate deployments and ensure system availability
Develop and maintain detailed process flow diagrams and Standard Operating Procedures for core functional components (Siebel CRM, Portal, and eligibility rules)
Analyze the downstream impact of proposed changes to ensure that enhancements to one module do not negatively impact other areas
Maintain documentation for system configurations, workflows, and integration logic to serve as a knowledge base for the team
Monitor and troubleshoot data exchange requirements between the State Based Exchange, the Federal Data Services Hub, and Insurance Carriers
Assist in the analysis of XML payloads and EDI 834 transaction errors to support enrollment reconciliation processes
Work with technical resources to define and validate integration patterns, ensuring data integrity across enterprise platforms
Act as a functional resource to internal and external stakeholders, providing clear explanations of complex system behaviors and constraints
Proactively identify opportunities for system improvement and recommend solutions to reduce manual workarounds and operational fallout
Qualification
Required
5+ years of experience as a Business Analyst in IT projects, preferably in healthcare, government exchange systems, or complex case management environments
Demonstrated understanding of the Software Development Life Cycle (SDLC), specifically regarding requirements definition, defect management, and testing
Proven experience creating detailed business process documentation, functional process flows, and Standard Operating Procedures using modeling tools such as Microsoft Visio or similar
Demonstrated ability to work independently in a dynamic environment, setting priorities and driving problems to resolution
Proficiency in Case Management software (Oracle Siebel experience is a solid plus) and requirements management tools (e.g., ALM, Azure DevOps)
Demonstrated advanced analytical and communication skills, with the ability to collaborate effectively with diverse teams (developers, clients, and business users)
Ability to be available for on-call support rotation (evenings and weekends) on average one week per month
Preferred
Demonstrated familiarity with ACA rules, QHP/Medicaid eligibility rules, or state-based exchange operations
Proven basic understanding of SQL for running pre-written queries to analyze data
Demonstrated familiarity with EDI X12 standards (specifically 834 Benefit Enrollment) or a solid aptitude for learning technical data formats
Benefits
A comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
Optum
Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.
10001+ employees
H1B Sponsorship
Optum 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 (648)
2024 (559)
2023 (620)
2022 (851)
2021 (593)
2020 (438)
Funding
Current Stage
Late StageLeadership Team
Daniel Castillo
Chief Executive Officer, Optum Care Delivery
J
Jay Green
Chief Financial Officer
Recent News
2025-11-29
2025-11-19
2025-11-07
Company data provided by crunchbase