Business Systems Analyst

Business Systems Analyst

Baltimore, MD (REMOTE) Pay From: $50,000 per year

MUST:

• Experienced Business Systems Analyst
• 4+ years experience
• Experience with and understanding of Medicare Claims
• Knowledge of analysis principles, theories and techniques to solve specific problems and formulate solutions
• Experience evaluating complex data and preparing reports of results using SQL
• Bachelors Degree

DUTIES:

• Elicit, document, and manage business and functional requirements for a large-scale Medicare claims tracking and reporting system
• Analyze workflows related to Medicare Fee-for-Service claim selection, medical record requests, medical review, and error rate reporting
• Support the development, enhancement, and maintenance of web-based portals and data reporting tools used by CMS, Medicare Administrative Contractors (MACs), and providers
• Translate business needs into clear, actionable system specifications for development and QA teams
• Document requirements for role-based user access, customized menus, and permissions across a multi-tenant web portal (up to 500 concurrent users across 150+ sites)
• Support the design and maintenance of reporting modules including claims status, appeals, documentation tracking, feedback, and payment adjustment reports
• Coordinate nightly data refresh schedules, report period updates, and system configuration changes
• Facilitate web-based training documentation and user support materials for internal and external stakeholders
• Assist with Privacy Threshold Analyses (PTA) and Privacy Impact Assessments (PIA) in accordance with CMS and HHS policy
• Contribute to System Security Plans (SSP) by documenting business processes, data flows, and system functionality
• Support documentation efforts related to FISMA, FedRAMP, NIST SP 800-53, and CMS IS2P2 compliance requirements
• Assist in tracking Plan of Action & Milestones (POA&M) items and coordinating remediation activities from a program management perspective
• Ensure all deliverables and system designs account for the handling of PII, PHI, and Controlled Unclassified Information (CUI)
• Interface with CMS program staff, prime contractor leadership, Medicare Administrative Contractors, and technical teams
• Participate in status meetings, working sessions, and deliverable reviews
• Prepare and maintain deliverables in accordance with contract schedules, including monthly status reports and security-related artifacts
• Support onboarding documentation including non-disclosure agreements and employee roster submissions

Quadrant is an affirmative action/equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, status as a protected veteran, or status as an individual with a disability.