Business Solutions Analyst

Business Solutions Analyst Overview of PositionResponsible for Legacy System utility set-up and maintenance, user training & support, claims/ERA processing issues related to carriers and/or Relay Health processes. This role will also work with TES Operations Partners to identify, evaluate, and develop system procedures which are cost effective and meet business requirements. Function is responsible for testing/performing QA activities and providing details/recommendations/direction to Legacy Programmers related to any issues or problems detected. May plan and execute unit integration, and acceptance testing; additionally, working with Programming to update specifications for systems to meet specific needs. Work assignments are complex in nature where considerable system knowledge / judgment and initiative are required in resolving problems and making recommendations to mitigate. Frequently interacts with functional peer groups at management levels and/or outside customers. May interact with senior management and senior programming. Interactions normally involve projects between cross-functional areas, other company divisions or units, or customers and the company.What will be my duties and responsibilities in this job?Performs complex base utility entry and maintenance; as well as updates to claims and billing processing codes and data integrity check/reviewDetailed Analysis of new client, billing data and files to identify potential problems or issuesWorks with MDIV Programmers staff to provide detailed information and provides recommendation for correctionTest and performs QA activities on complex system settings/changesPerforms complex claims/ERA processing issue research & resolution on user technical support ticketsCompletes complex ad hoc requests as needed for clients/operations or troubleshootingConducts complex system support and training modulesOther duties as assignedWhat are the requirements needed for this position?1+ yrs. MDIV experience required1+ yrs. MS Office (Word, Excel, Outlook, Access)1 + yrs. Billing and/or analytical support within a medical billing office High School Diploma or equivalentWhat other skills/experience would be helpful to have?Working/Advanced knowledge in analysis, translating specificationsDetailed knowledge of 837 and 835 transaction formatsAbility to work in a fast-paced environmentExcellent communication (both written and oral) and interpersonal skillsStrong analytical thinkingExcellent organizational skillsAbility to multi task and work through complex issuesAbility to meet position metrics goals (KPIs)What are the working conditions and physical requirements of this job? Office EnvironmentPhysical requirements include general office demandsMust have access to a remote office with dependable and high-speed internet. Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system! COVID Vaccination Requirements We remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. As such, we require all employees to disclose COVID-19 vaccination status prior to beginning employment and we may require periodic testing for certain roles. In addition, some roles require full COVID-19 vaccination as an essential job function. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Equal Opportunity/Affirmative Action Statement Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at and the supplemental information at you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to [Click Here to Email Your Resumé] with ''Applicant requesting reasonable accommodation'' as the subject. Resumes or CVs submitted to this email box will not be accepted.Click here English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcares Privacy Notice to California Job Applicants Regarding the Collection of Personal Information (. Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.

Created: 2025-10-04