[Hiring] Senior Business Systems Analyst @Sentara Health

Role Description

This position is responsible for support, enhancement, and implementation of software applications used within the organization. Oversees and directs intermediate scale projects or components of large-scale projects; develops project plans and timelines and coordinates project resources.

Incumbent will identify opportunities to leverage technologies in areas that improve and enhance business practices by designing and implementing application/product enhancements. Works with and is a liaison to customers and end-users, appropriate IT personnel, and software vendors on a regular basis to align technology functionality to operational processes.

• Assess, research, analyze, and document stakeholder needs, selecting the appropriate information gathering and/or modeling technique to elicit requirements.
• Develop detailed test cases, execute them, and share results with business and tech managers for approval.
• Work jointly with developers to solution and provide cost and time estimates on fixes and enhancements.
• Perform longer term analysis and design of systems and hardware to maintain the production environments.
• Synthesize requirements and develop recommendations that best meet the objectives of the business.
• Work on project teams that are developing or modifying very complex information systems.

Qualifications

• Bachelor’s degree preferably in a field such as Computer Science, Business, Technical, Education, Information Systems, Finance, Business Administration, Accounting, Engineering, Information Technology (Required).
• Candidates without a bachelor’s degree with 6 or more years of relevant experience may be considered.
• 4 years of relevant experience (Required).
• Proficiency in SQL, HTML, and CSS (Preferred).
• Must have experience working in SQL.
• Understanding of Software Development Life Cycle.
• Nice to have experience working in Salesforce, QNXT, Edifecs.

Requirements

• Serve as the primary liaison between business units, IT groups, and external partners regarding Enrollment and Eligibility processes, with a focus on EDI 834 file exchanges.
• Elicit detailed requirements from stakeholders for the onboarding and maintenance of EDI 834 transactions.
• Analyze, map, and document data flows, business processes, and system interfaces—particularly for enrollment and eligibility functions.
• Review and validate inbound and outbound EDI 834 files to ensure data integrity and compliance with industry and regulatory standards.
• Utilize methodologies such as Agile, Waterfall, and SDLC to manage and support projects related to enrollment and eligibility.
• Develop and execute SQL queries for data analysis and troubleshooting of EDI 834 transactions and enrollment data.
• Identify and mitigate operational and technological risks associated with enrollment file exchanges and eligibility processing.
• Lead testing, troubleshooting, and enhancement activities for enrollment systems and EDI integrations.
• Build and maintain strong relationships with internal teams and external partners (e.g., plan sponsors, TPAs).
• Proactively identify opportunities for business process improvement and innovation within enrollment and eligibility operations.
• Drive initiatives to increase customer satisfaction by streamlining EDI processes, enhancing data accuracy, and optimizing workflows.
• Evaluate project team performance and ensure objectives, targets, and timelines for enrollment and eligibility enhancements are consistently met.
• Oversee the design and implementation of new enrollment-related solutions and assess their impact on customer satisfaction and operational efficiency.
• Create and distribute monthly performance and operational analysis reports using Tableau, Excel, and other analytic tools.
• Stay informed of regulatory changes and industry trends regarding EDI 834, HIPAA, and member enrollment.
• Provide training and guidance to junior analysts and business units on EDI 834 standards and enrollment practices.

Benefits

• Medical, Dental, Vision plans.
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000.
• Paid Time Off and Sick Leave.
• Paid Parental & Family Caregiver Leave.
• Emergency Backup Care.
• Long-Term, Short-Term Disability, and Critical Illness plans.
• Life Insurance.
• 401k/403B with Employer Match.
• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education.
• Student Debt Pay Down – $10,000.
• Pet Insurance.
• Legal Resources Plan.
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria are met.