Business System Analyst


Philadelphia, PA

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PENNEP is seeking a talented and dedicated Business Systems Analyst to join our client's dynamic team. This ideal candidate worked as a Business Systems Analyst with expertise in technical documentation and claims processing within HealthRules, QNXT, or FACETS. Responsible for designing efficient solutions for healthcare claims.


  • Analyze business requirements and translate them into technical specifications.
  • Collaborate with stakeholders to understand and document system processes, workflows, and functionalities.
  • Develop comprehensive documentation including business requirements, functional specifications, and test plans.
  • Serve as a subject matter expert (SME) in claims processing within QNXT and/or Facets platforms.
  • Configure, maintain, and troubleshoot claims-related functionalities and integrations.
  • Identify opportunities for process improvement and system enhancements to optimize claims operations.
  • Work closely with development teams to ensure smooth integration of new features and functionalities.
  • Conduct thorough testing of claims systems to ensure accuracy, performance, and compliance with regulatory standards.
  • Support user acceptance testing (UAT) and facilitate defect resolution processes.
  • Engage with cross-functional teams including business stakeholders, IT developers, and quality assurance teams.
  • Act as a liaison between business users and technical teams to address system-related issues and requirements.


  • Proven experience 8+ years as a Business Systems Analyst in a healthcare environment, specifically focusing on claims management.
  • In-depth knowledge of QNXT and/or Facets claims systems, including configuration, customization, and integration.
  • Strong analytical skills with the ability to translate business needs into technical requirements.
  • Experience in documenting business processes, workflows, and technical specifications.
  • Familiarity with healthcare industry standards and regulations (e.g., HIPAA).
  • Excellent communication skills with the ability to collaborate effectively across teams and levels.
  • Detail-oriented with strong problem-solving abilities.


A minimum of Bachelor's Degree

Employment Type


Work Arrangements

Remote Work

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