MDM / ERDM Business Systems Analyst Senior

AMERIHEALTH CARITAS

$85K — $110K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years in business systems analysis with MDM expertise
  • 5+ years experience in a healthcare setting
  • Experience with MCO/Payer operations in provider contracting and member services
  • Familiarity with FACETS claims system preferred
  • Proficiency in SQL, Excel, and MDM tools (Informatica, Reltio, SAS DataFlux)
  • Strong understanding of MDM concepts and data governance
  • Exceptional communication and stakeholder management skills

Responsibilities

  • Lead requirements management for MDM/ERDM projects and enhancements
  • Document business and technical requirements, data specifications, and process flows
  • Conduct hands-on data analysis to validate and troubleshoot discrepancies
  • Act as a liaison between business stakeholders and technical teams
  • Identify and propose enhancements or automation opportunities
  • Provide time/resource estimates and manage project scopes
  • Review and conduct testing of integration and user acceptance processes

Benefits

  • Flexible work solutions including hybrid schedules
  • Health insurance coverage from Day 1 for you and dependents
  • Paid time off for holidays and volunteer events
  • 401(k) plan
  • Tuition reimbursement
Full Job Description
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

THIS IS A HYBRID, OFFICE BASED POSITION WORKING AT OUR ELLIS PRESERVE OFFICE LOCATED IN NEWTOWN SQUARE, PA.

WE WILL NOT CONSIDER REMOTE CANDIDATES!

Role Overview

The Business Systems Analyst Senior serves as a SME providing ongoing business analysis support in the multi-domain (Member, Provider) Master Data Management (MDM) and Enterprise Reference Data Management (ERDM) area.

Work Arrangement
  • This is HYBRID position. Associate will work in our beautiful Ellis Preserve office located in Newtown Square, PA at least three (3) days per week, including core days of Tuesday, Wednesday, and Thursday

Responsibilities
  • Leads the requirements management process for change requests/enhancements or projects pertaining to MDM/ERDM area
  • Provides clear documentation on business & technical requirements, source to target mappings, data specifications, business rules, and process flows relevant to MDM/ERDM initiatives
  • Perform hands on data analysis using SQL, Databricks, and related querying tools to validate data, research & troubleshoot data discrepancies, conduct root cause analyses and gap analysis
  • Act as liaison between the business and IS technical teams, leading the definition of functional requirements, explaining changes to business processes, and continually communicating status. Serves as an expert advisor to the IS team regarding the business to ensure the effort meets business needs
  • Proactively identifies opportunities for process/system enhancement/improvement and brings to the attention of management and business, as appropriate. Identifies potential opportunities to automate existing processes
  • Provides accurate time/resource estimates for assigned tasks by proactively managing ambiguous business needs and scope creep
  • Reviews test plans and scripts for completeness and accuracy, and conducts integration testing and user acceptance testing (UAT)
  • Demonstrates strong problem solving skills, including evaluating alternatives, recommending solutions, and articulating impacts
  • Track the status of all service requests, open incidents and change tickets from initiation through resolution, adhering to strict SLA timelines
  • Facilitate meetings with business stakeholders and technical counterparts

Education and Experience
  • At least five (5)+ years in business systems analysis, with specialized experience in Master Data Management
  • At least five (5)+ years in a healthcare environment
  • Must have MCO/ Payer experience on Provider contracting & maintenance, Member enrollment services
  • Previous experience working with FACETS claims system preferred
  • Proficiency in data analysis using SQL, Excel and experience with MDM tools (e.g Informatica, Reltio, SAS DataFlux)
  • Knowledge of MDM concepts like defining match-and-merge rules, survivorship criteria, and validation logic to maintain golden records
  • Ability to function independently with limited work direction
  • Excellent communication, stakeholder management, and ability to translate technical concepts for business users and vice-versa

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

Your career starts now. We're looking for the next generation of health care leaders.

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