Business Systems Analyst -Web Portal Modernization

Job Title: Business Systems Analyst Web Portal Modernization
Job Location: Coppell, TX/San Ramon, CA/NYC NY
Job Type: Contract

Job Description:

• Analyze healthcare payer business processes, system capabilities, data flows, integrations, and user experiences.
• Develop a strong understanding of current-state health plan portals, backend applications, APIs, business rules, and operational processes.
• Facilitate discovery sessions with business stakeholders, product owners, members, customer-service teams, technology teams, and subject-matter experts.
• Document current-state and target-state business processes, system interactions, data requirements, and user journeys.
• Translate healthcare business needs into clear, actionable functional and non-functional requirements.
• Act as a liaison between healthcare business stakeholders and technology-delivery teams.
• Ensure requirements align with organizational objectives, regulatory requirements, architecture standards, and member-experience goals.

Legacy-to-Modern Portal Gap Analysis

• Assess existing legacy health plan web portals and compare them with the proposed modernized platform.
• Identify gaps across:
  • Business functionality
  • Member experience
  • Navigation and usability
  • Accessibility
  • Multilingual support
  • Application architecture
  • Data availability and accuracy
  • API and integration capabilities
  • Security and authentication
  • Performance and responsiveness
  • Mobile and cross-browser compatibility
  • Operational support and reporting
• Develop detailed current-state versus target-state gap assessments.
• Categorize gaps as functional, technical, data, integration, accessibility, security, operational, or user-experience related.
• Evaluate whether existing functionality should be retained, redesigned, consolidated, replaced, or retired.
• Identify undocumented legacy behavior and business rules that must be addressed during modernization.
• Assess modernization impacts on members, customer-service representatives, business operations, downstream systems, and support teams.
• Maintain a gap register with priorities, business impacts, dependencies, recommendations, and resolution status.

User Stories and Requirements Management

• Convert identified gaps into epics, capabilities, features, user stories, and technical enablers.
• Write clear user stories using a member- or business-focused format.
• Develop detailed acceptance criteria covering:
  • Positive scenarios
  • Negative scenarios
  • Alternate flows
  • Error handling
  • Data-validation rules
  • Accessibility requirements
  • Multilingual behavior
  • Integration outcomes
  • Security and authorization
  • Performance expectations
• Decompose large requirements into implementation-ready stories that can be delivered within Agile sprints.
• Collaborate with architects and technical teams to identify technical stories and enablers.
• Maintain bidirectional traceability between business needs, identified gaps, requirements, user stories, test cases, and delivered functionality.
• Support backlog creation, refinement, prioritization, sprint planning, demonstrations, and acceptance activities.
• Ensure stories meet the team's Definition of Ready before being accepted into a sprint.
• Clarify requirements throughout development and testing and resolve functional questions promptly.
• Review completed functionality against requirements and acceptance criteria.

Health Plan Portal Capabilities

The analyst should understand common member-portal capabilities, including:

• Member registration, login, authentication, and account recovery
• Member profile and communication preferences
• Eligibility, enrollment, and coverage information
• Benefits and plan-document access
• Claims status, explanation of benefits, and claim details
• Deductible, copayment, coinsurance, and out-of-pocket accumulators
• Provider search and provider-directory information
• Primary care provider selection and change
• Prior authorization and referral information
• Pharmacy benefits and prescription information
• Premium and bill-payment functionality
• Member ID cards
• Secure messaging, notifications, and alerts
• Digital documents and correspondence
• Appeals, grievances, and service requests
• Care-management and wellness programs
• Coordination of benefits
• Customer-service and contact-center integration
• Consent, privacy, and communication-preference management

Accessibility Requirements

• Possess strong knowledge of digital accessibility and a11y requirements.
• Understand Web Content Accessibility Guidelines, including WCAG 2.1 and WCAG 2.2.
• Translate accessibility requirements into functional requirements, user stories, and measurable acceptance criteria.
• Work with UX, development, accessibility, and QA teams to ensure inclusive portal experiences.
• Define requirements for:
  • Keyboard-only navigation
  • Screen-reader compatibility
  • Focus order and visible focus
  • Semantic headings and landmarks
  • Accessible forms, labels, and error messages
  • Alternative text for images
  • Color contrast
  • Page titles
  • Skip-navigation functionality
  • Language attributes
  • Status and dynamic-content announcements
  • Accessible tables, dialogs, and interactive controls
• Participate in accessibility reviews and support remediation of identified issues.
• Ensure accessibility requirements are included throughout discovery, design, development, testing, and release-not treated only as final-stage validation.
• Familiarity with tools such as JAWS, NVDA, VoiceOver, Axe, WAVE, or Lighthouse is preferred.

Multilingual and Localization Requirements

• Define requirements for multilingual health plan portal capabilities.
• Identify all user-facing content that requires translation or localization.
• Collaborate with content, design, legal, compliance, translation, and engineering teams.
• Define requirements for:
  • Language selection and preference management
  • Persistent language preferences
  • Translated navigation, labels, forms, and error messages
  • Multilingual content management
  • Dynamic and API-provided content
  • Notifications, documents, and correspondence
  • Date, time, address, number, and currency formats
  • Text expansion and responsive-layout behavior
  • Character encoding and special characters
  • Screen-reader language identification
  • Translation fallback behavior
  • Content versioning and approval workflows
• Ensure that multilingual requirements apply consistently across AEM or CMS content, web applications, APIs, BFF services, and backend systems.
• Work with QA teams to define language-specific test scenarios and acceptance criteria.

Integration and Data Analysis

• Analyze integrations between the portal and health plan systems, including enrollment, claims, benefits, provider, authorization, billing, pharmacy, and document-management platforms.
• Document data mappings, source systems, target systems, business rules, transformations, validations, and error conditions.
• Define API and interface requirements in collaboration with architects and development teams.
• Validate that portal data is accurate, timely, complete, and consistent with systems of record.
• Identify legacy interfaces that require modernization, replacement, or API enablement.
• Understand synchronous, asynchronous, asynchronous, batch, API, and event-driven integration patterns.
• Support source-to-target mapping and data-reconciliation activities where required.

Agile Delivery and Stakeholder Coordination

• Work effectively within Agile, Scrum, Kanban, or SAFe delivery models.
• Participate in:
  • Program increment planning
  • Backlog refinement
  • Sprint planning
  • Daily stand-ups
  • Sprint reviews
  • Retrospectives
  • Release planning
• Coordinate requirements and dependencies across business, product, architecture, development, quality, accessibility, security, and operations teams.
• Track open requirements, decisions, dependencies, risks, and action items.
• Identify requirement-related risks early and escalate them to the appropriate stakeholders.
• Support release-readiness assessments, user-acceptance testing, business validation, and production stabilization.
• Communicate progress, issues, and decisions clearly to both technical and non-technical stakeholders.

Required Experience and Skills

• Approximately 10+ years of experience as a Business Analyst, Business Systems Analyst, Product Analyst, or similar role.
• Significant experience working in the healthcare payer or health plan domain.
• Demonstrated experience analyzing and modernizing member-facing healthcare portals.
• Strong knowledge of health plan products, processes, data, and member experiences.
• Proven ability to compare legacy and modernized applications and identify business, functional, technical, data, accessibility, and usability gaps.
• Strong experience developing:
  • Business requirements
  • Functional specifications
  • Process flows
  • Current-state and target-state assessments
  • Gap-analysis documents
  • Epics and features
  • User stories
  • Acceptance criteria
  • Use cases and business rules
  • Data and interface requirements
• Strong knowledge of accessibility and a11y requirements.
• Experience defining multilingual and localization requirements.
• Knowledge of Agile, Scrum, Kanban, and SAFe practices.
• Hands-on experience with Jira and Confluence.
• Strong understanding of web applications, APIs, microservices, content-management systems, and system integrations.
• Ability to interpret architecture diagrams, process models, wireframes, API documentation, data mappings, and technical specifications.
• Strong facilitation, analytical, problem-solving, documentation, and stakeholder-management skills.
• Excellent written and verbal communication skills.

Preferred Qualifications

• Experience working with Medicare, Medicaid, Marketplace, Commercial, or other health plan products.
• Knowledge of HIPAA, PHI, healthcare privacy, security, and regulatory requirements.
• Experience with AEM, React-based Single-Page Applications, Backend-for-Frontend services, or modern web chassis platforms.
• Familiarity with healthcare standards and data formats such as EDI X12, FHIR, or HL7.
• Experience supporting customer-facing healthcare portals with large and diverse member populations.
• Knowledge of usability testing, user-journey mapping, design systems, and human-centered design.
• Experience supporting accessibility audits, remediation programs, or compliance initiatives.
• Certified Business Analysis Professional, PMI Professional in Business Analysis, SAFe, Scrum, or equivalent certification is advantageous.

Key Competencies

• Healthcare payer-domain expertise
• Legacy-to-modern system analysis
• Functional and technical gap identification
• User-story and acceptance-criteria development
• Accessibility-focused requirements analysis
• Multilingual and localization analysis
• Business-process modeling
• Data and integration analysis
• Agile backlog management
• Cross-functional stakeholder coordination
• Critical thinking and problem-solving
• Clear documentation and communication
• Attention to detail
• Customer and member-experience orientation

Success Measures

• Comprehensive identification of legacy-to-modern portal gaps.
• Clear, complete, testable, and implementation-ready user stories.
• Strong traceability from business needs and identified gaps through delivery and validation.
• Effective incorporation of accessibility and multilingual requirements.
• Reduced requirement ambiguity, rework, and missed functionality.
• Timely resolution of cross-team questions and dependencies.
• Successful business validation and acceptance of modernized portal capabilities.
• Improved member experience across digital channels.
• Delivery of compliant, inclusive, accessible, and multilingual health plan experiences.