Sr System Analyst, Healthcare Financials

Healthcare is complex, but paying for it shouldn't be. Amazon Health Services is looking for a Senior System Analyst to operationalize the financial engine that powers healthcare billing. You will translate complex healthcare billing requirements into configurable system rules that ensure every encounter is billed accurately — turning manual processes into scalable, automated workflows. In this role, you will be the bridge between business intent and system behavior — owning the logic layer that determines how charges are captured, how claims are constructed, and how payer rules are applied. This is a high-impact role as you will impact every bill that goes out. You will transform a legacy way of working by injecting a savvy data and systems skill set, backed by Amazon's engineering resources, customer obsession culture, and a leadership team that believes financial accuracy is the foundation of a sustainable healthcare business. Key job responsibilities- Partner with billing operations, finance, and clinical stakeholders to understand complex billing requirements and translate them into scalable, logical functional specifications that power the billing engine - Define and maintain billing rules, payer-specific configurations, and charge logic that drive accurate claim generation - Use data analysis to identify billing defects, revenue leakage patterns, and configuration gaps — prioritize work by financial impact, not squeaky-wheel urgency - Build and maintain reporting and monitoring to validate system behavior and catch issues proactively. Maintain documentation of business rules, configuration decisions, and system dependencies - Identify opportunities to replace manual workflows with systematic, rules-based automation — reducing human error and accelerating throughput - Design scalable processes that accommodate new service lines, payer contracts, and business models without bespoke rework - Work with engineering to ensure requirements are implementable, testable, and maintainable; participate in design discussions and QA validation Basic qualifications- Bachelor's degree- Bachelor's degree or above in Finance, Accounting, Business, Economics or a highly analytical field (e.g., Engineering, Math, and Computer Science), or experience with SQL- Experience with documenting accounting conclusions, or experience communicating complex information and solutions to senior stakeholders and influencing decisions- 5+ years of experience in system analysis, business analysis, or technical configurations — with a focus on translating business requirements into functional specificationsPreferred qualification - Experience in creating process improvements with automation and analysis, or experience working in a fast-paced and ambiguous environment- Experience working with configurable systems (billing platforms, rules engines, or similar)- Familiarity with healthcare billing standards (CPT/ICD coding, fee schedules, payer adjudication rules)Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit for more information. If the country/region you’re applying in isn’t listed, please contact your Recruiting Partner.The base salary range for this position is listed below. Your Amazon package will include sign-on payments and restricted stock units (RSUs). Final compensation will be determined based on factors including experience, qualifications, and location. Amazon also offers comprehensive benefits including health insurance (medical, dental, vision, prescription, Basic Life & AD&D insurance and option for Supplemental life plans, EAP, Mental Health Support, Medical Advice Line, Flexible Spending Accounts, Adoption and Surrogacy Reimbursement coverage), 401(k) matching, paid time off, and parental leave. Learn more about our benefits at .USA, WA, Seattle - 124,100.00 - 167,800.00 USD annually