Encounters Business Analyst

Job Title: Encounters Business Analyst

Location: Dayton, Ohio

Type: Contract

Work Model: Remote

Security Clearance: No Clearance

Responsibilities

• Serve as the primary liaison between business stakeholders and delivery teams.

• Lead requirements discovery, elicitation, analysis, modeling, documentation, validation, and traceability.

• Facilitate stakeholder workshops, scoping discussions, and refinement sessions.

• Develop process flows, context diagrams, business rules, decision models, and future-state designs.

• Manage Features, Epics, and related artifacts in enterprise delivery tools.

• Review business cases, contracts, and project artifacts.

• Analyze processes and performance metrics for operational improvement and cost reduction.

• Use AI-enabled tools, automation, and analytical techniques to improve business-analysis practices.

• Identify and manage risks, dependencies, issues, and escalations.

• Present recommendations, findings, status updates, and business insights to leadership.

• Mentor Business Analysts I and II.

Requirements

• Bachelor's degree, or equivalent relevant work experience.

• 5 years of progressive business analysis, requirements management, or related experience.

• Relevant healthcare payer industry experience.

• Business-domain experience including regulatory reporting and compliance.

• Experience with Azure DevOps, ServiceNow, JIRA, Modern Requirements, or equivalent requirements-management tools is preferred

• Understanding / working experience with EDI Transactions – 837I/P/D, and response files TA1, 277, 835's. 834.

• Encounters remediation – Medicaid / Medicare submission experience will be given preference.

• Exposure to claims adjudication, member enrollment and provider aspects.

• Advanced requirements management and business analysis.

• Agile, Waterfall, Hybrid, and Lean Portfolio Management.

• Stakeholder management and facilitation.

• Process analysis and continuous improvement.

• Healthcare payer knowledge covering Medicaid, Medicare, and Marketplace.

• Data analysis and interpretation.

• AI-enabled tools, automation, and analytics.

• Preferred certifications include IIBA, Six Sigma, ITIL, Agile, Lean, and SAFe.

System One, and its subsidiaries including Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

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Ref: #861-Cincinnati-S1

System One, and its subsidiaries including Joulé, ALTA IT Services, CM Access, TPGS, and MOUNTAIN, LTD., are leaders in delivering workforce solutions and integrated services across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible full-time employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.