Sr Business Systems Analyst | Remote

Senior IT Business Systems Analyst – Healthcare / Health Insurance
Jacksonville, FL | Eastern Time Zone Highly preferred

ARC Group is seeking an experienced Senior IT Business Systems Analyst for a long-term, remote contract opportunity with the potential for extension and/or conversion to a permanent position .
This is an excellent opportunity for a technical, data-focused Business Systems Analyst with experience in the healthcare, medical, or health insurance domain . The ideal candidate will be a versatile problem solver who can work across multiple applications, systems, and initiatives.

Only candidates with Business Systems Analyst experience supporting the healthcare, medical, or health insurance domain will be considered.

Position Overview

This is not a role focused on one specific project. The team is looking for a strong Senior BSA who can serve as a “Jack of All Trades” and adapt to a variety of business and technical initiatives.

The primary focus of this role is data . The Senior BSA will analyze existing systems and data, work closely with business and technical partners, and help define how information should be classified, extracted, secured, stored, retrieved, transformed, and integrated across applications.

The ideal candidate will be comfortable getting “in the weeds” with business partners and stakeholders to understand complex problems and translate business needs into clear technical requirements and solutions.

Several upcoming initiatives will involve Medicare products and Medicare enrollment changes , making experience in the Medicare and health insurance space highly desirable.

Key Responsibilities

• Analyze complex business needs and translate them into detailed business, functional, and technical requirements.
• Work directly with business partners, stakeholders, and technical teams to gather, clarify, and document requirements.
• Analyze existing applications, systems, processes, interfaces, and underlying data.
• Write and analyze complex SQL queries to investigate, validate, troubleshoot, and better understand data.
• Develop business requirements, functional requirements, technical specifications, user stories, process flows, data flows, mappings, and other technical documentation.
• Partner with developers, architects, data teams, and other IT professionals to ensure solutions meet business and technical requirements.
• Analyze how data is classified, stored, secured, retrieved, transformed, and integrated across systems.
• Understand the relationship between the user interface, application functionality, and underlying data sources .
• Support data mapping, crosswalks, transformation rules, integrations, and system interfaces.
• Identify upstream and downstream system dependencies and assess the impact of proposed changes.
• Support multiple projects and initiatives simultaneously and adapt to changing priorities.
• Develop test strategies, test scenarios, and test cases and support system testing and user acceptance testing.
• Research and troubleshoot complex business, application, and data-related issues.
• Work with sensitive healthcare and medical information while considering appropriate privacy, security, storage, transmission, and access requirements.
• Support analysis of legacy applications, including data dependencies, retention, archival, migration, retirement, and decommissioning where applicable.
• Build strong relationships and consensus between business stakeholders and technical teams.

Required Qualifications

• 5+ years of experience as a Business Systems Analyst, IT Business Systems Analyst, Systems Analyst, or similar technical analyst.
• Direct Business Systems Analyst experience within the healthcare, medical, health insurance, payer, provider, or related healthcare technology domain is required.
• Strong experience gathering requirements directly from business stakeholders and translating those needs into technical requirements.
• Strong technical and analytical background with the ability to understand complex applications, systems, interfaces, and data.
• Ability to write and understand complex SQL queries .
• Experience with data analysis, data mapping, data transformation, and data validation.
• Strong understanding of data storage and retrieval .
• Experience working with system integrations, interfaces, and data flows.
• Ability to understand how applications and user interfaces interact with underlying data and systems.
• Experience working within Agile, Waterfall, or hybrid SDLC environments.
• Experience creating detailed technical documentation, process flows, functional requirements, system specifications, and data mappings.
• Strong communication and relationship-building skills with both business and technical stakeholders.
• Ability to work independently in a remote environment and manage multiple initiatives and priorities.
• Ability to work during Eastern Time Zone business hours is highly preferred . Candidates located in the Central Time Zone will also be considered.

Highly Preferred Experience

Candidates with experience in the following areas will be strongly considered:

• Healthcare or health insurance systems and applications
• Health plans or payer organizations
• Medicare and Medicare-related products
• Medicare enrollment or enrollment changes
• Healthcare, medical, member, claims, provider, or related data
• Data classification within a healthcare or health insurance environment
• Hospital or provider-to-payer data integration
• Data exchange between healthcare organizations and health plans
• Application and system integration
• PII and PHI data
• Secure handling of sensitive data, including data at rest and in transit
• Healthcare EDI and related transactions
• Strong understanding of healthcare data flows and dependencies

Preferred / Nice-to-Have Experience

Experience in one or more of the following areas would be beneficial:  

• X12 278 and/or 275 transactions
• Medical records or healthcare documentation
• Clinical data
• EMR/EHR systems
• CCDA/C-CDA
• Healthcare interoperability
• HL7 and/or FHIR
• CMS systems or data
• OCR — Optical Character Recognition
• ICR — Intelligent Character Recognition
• Document scanning and document capture
• Zone extraction
• Intelligent document processing
• Secure data extraction and transmission
• AI or AI-related projects involving data, automation, or document processing
• Healthcare or medical compliance
• Legacy application retirement or decommissioning
• Data retention, archival, or historical data retrieval

Ideal Candidate

The ideal candidate is a Senior Technical Business Systems Analyst with strong healthcare or health insurance domain experience and a deep understanding of data and systems .

This individual should be comfortable working directly with business partners to identify complex problems, analyze existing applications and data, and translate business needs into actionable technical requirements.

The strongest candidates will have hands-on experience with complex SQL, data analysis, data storage and retrieval, data mapping, transformation, integrations, and understanding how data moves through applications and user interfaces .

Experience with Medicare, payer systems, Medicare enrollment, medical records, clinical data, hospital-to-payer integrations, healthcare EDI, 278/275 transactions, CCDA/C-CDA, OCR/ICR, or zone extraction will be strong differentiators.

This role is ideal for a versatile BSA who can quickly learn new applications and initiatives, work effectively across functional boundaries, and serve as the bridge between business stakeholders and technical teams.

Work Authorization & Candidate Representation

• Candidates must be authorized to work in the United States on a permanent basis.
• Sponsorship is not available now or in the future.
• Candidates requiring current or future employment sponsorship will not be considered.
• No C2C, third-party, or agency candidate submissions will be accepted.
• Candidates must be able to work directly and cannot be represented by another staffing agency, consulting firm, or third-party recruiter.

Why This Opportunity?

This is a long-term contract opportunity with the potential for extension and/or conversion to a permanent position .

The successful candidate will have the opportunity to support a variety of complex healthcare and health insurance initiatives involving data, Medicare products, enrollment changes, applications, integrations, document processing, and evolving technologies .

If you are a technically strong Business Systems Analyst with 5+ years of experience and a proven background in the healthcare, medical, or health insurance domain , we encourage you to apply.