Systems Analyst Healthcare Eligibility & EDI (Atlanta) Job at Strategic Systems Inc, Atlanta, GA

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  • Strategic Systems Inc
  • Atlanta, GA

Job Description

Systems Analyst Healthcare Eligibility & EDI

Duration: 12-Month Contract

Position Overview

A large national healthcare technology organization is seeking a Senior Systems Analyst to support complex eligibility, benefits, and transaction-processing systems. This role supports health IT product development, EDI transaction processing, Agile delivery, testing, documentation, and collaboration with product teams and development teams.

Key Responsibilities:

Product, Requirements, & Agile Support

  • Work with product owners to capture detailed requirements and translate them into user stories with complete acceptance criteria.
  • Participate in Agile ceremonies and assist sprint teams in delivering high-quality increments.
  • Conduct analysis sessions, user research, and usability reviews.
  • Maintain Agile lifecycle tools (e.g., Jira, Confluence).

Healthcare Eligibility & EDI Transaction Analysis

  • Support healthcare eligibility and benefits systems with a focus on complex business processes.
  • Analyze and process EDI X12 transactions , including 270/271 .
  • Perform system analysis related to healthcare benefits and eligibility workflows.
  • Work with cross-functional teams to troubleshoot and enhance system functionality.

Testing & Quality Assurance

  • Perform software testing and validation for new features, enhancements, and fixes.
  • Create and maintain test cases aligned with user story requirements.
  • Support quality assurance activities within Agile teams.

Documentation & Communication

  • Develop and update SOPs, system documentation, technical guides, and process materials.
  • Track meeting action items, risks, timelines, milestones, and project deliverables.
  • Prepare clear and concise communication materials for various stakeholders.

Project Coordination & Stakeholder Engagement

  • Assist with scope definition, planning, scheduling, and tracking activities across initiatives.
  • Collaborate with internal and external partners on requirements, execution, and continuous improvements.
  • Engage with development and QA teams to ensure technical alignment with business needs.

System Support

  • Provide operational and analytical support for eligibility and transaction-processing systems.
  • Work directly with senior developers for system validation, troubleshooting, and enhancement support.

MUST-HAVE REQUIREMENTS

Must have 35+ years of experience supporting product development and quality assurance of health IT products (ie; as a product analyst or business analyst) working closely with Product Owner.

  • Minimum Education: Must have Bachelors Degree.
  • Must have experience with Agile delivery management working with Sprint teams to implement solutions in line with product requirements and using agile collaboration tools ( Jira, Confluence, etc. ).
  • Must have software testing experience .
  • Experience with Agile or SAFe frameworks is preferred.
  • Must have demonstrated abilities to analyze complex business processes and operations; represent user needs as user story requirements; and identify gaps and come up with improvements.
  • Must have demonstrated ability to exercise creative and critical thinking to identify and evaluate alternatives toward arriving at decisions with stakeholders.
  • Must have excellent oral and written communication skills and ability to document complex problems in a simple & intuitive manner that others can understand.
  • Must have experience with Electronic Data Interface (EDI) processing.
  • Must have experience with transactional systems including a systems process 270/271 transactions and/or other X12 data formats.
  • Must have knowledge of Medicare policies, programs, systems and data.
  • Must have experience with healthcare benefits and eligibility, specifically Medicare/Medicaid.
  • Must have certifications relevant to product analyst roles (ie; Product Owner certifications or Project Manager certifications).

Tech Skills

  • Cloud/Hosted environments (AWS).
  • Senior Analyst must provide maintenance support to eligibility and transaction systems.
  • Senior Analyst will work closely with senior developers.

Job Tags

Contract work, Part time,

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