Systems Analyst

Health Care Service Corporation

. Design, enhance, and support technology solutions for payment integrity initiatives .

Posted 10/5/2026full-timeRemote • United StatesMid-LevelSenior💰 $69,800 - $125,900 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in designing and supporting technology solutions for payment integrity initiatives, with a strong focus on healthcare data analysis, claims processing, and reimbursement accuracy. Proficient in translating complex business needs into scalable technology solutions while collaborating effectively with cross-functional teams.

Highest-signal resume keywords

Payment Integrity SupportClaims Processing ExperienceHealthcare Data AnalysisAgile Delivery SupportSQL Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare Claims PlatformsICD CodingCPT CodingHCPCS CodingData AnalysisReportingSystem IntegrationTechnical SpecificationsSolution DocumentationCloud-Based Technologies

Soft Skills

Analytical SkillsProblem-Solving SkillsCommunication Skills

Tools & Technologies

SaaS PlatformsAPIsREST ServicesHealthcare Data WarehousesAnalytics Platforms

Industry Keywords

Healthcare Payer OperationsReimbursement MethodologiesFraud DetectionWaste and Abuse DetectionPayment Policy Implementation

Tech Stack

Tools & technologies

CloudSDLCSQL

About the role

Key responsibilities & impact

Design, enhance, and support technology solutions for payment integrity initiatives
Improve claims adjudication accuracy and reduce unnecessary healthcare costs
Translate complex business needs into scalable, high-performing technology solutions
Collaborate with Product Owners, Business Analysts, Architects, Developers, and Operations teams
Support payment integrity programs and reimbursement accuracy initiatives
Analyze large healthcare data sets to identify trends and measure savings
Support Agile delivery teams throughout the software development life cycle
Manage production support activities and troubleshoot application issues
Drive resolution of operational incidents impacting claims processing and payment integrity outcomes
Deliver measurable business value and support high-visibility healthcare affordability and member experience initiatives

Requirements

What you’ll need

Bachelor's degree in Computer Science, Information Technology, Healthcare Informatics, or a related field
Experience supporting Payment Integrity, Claims Processing, Claims Adjudication and Healthcare Payer operations
Working knowledge of healthcare claims platforms, provider reimbursement methodologies, coding systems (ICD, CPT, HCPCS), and payment policy implementation
Experience translating business and operational requirements into detailed technical specifications, system designs, and solution documentation
Familiarity with payment integrity programs such as pre-pay and post-pay edits, clinical editing, fraud, waste and abuse detection, and reimbursement accuracy initiatives
Experience working with large healthcare data sets and analytics platforms
Knowledge of cloud-based technologies, SaaS platforms, APIs, REST services, and system integration patterns
Experience supporting Agile delivery teams and collaborating throughout SDLC
Strong analytical and problem-solving skills
Ability to manage production support activities, troubleshoot application issues, and drive resolution of operational incidents
Experience with SQL, data analysis, reporting, and healthcare data warehouses preferred
Excellent written and verbal communication skills
Knowledge of healthcare payer operations and Blue Cross Blue Shield business processes highly desirable
Sponsorship is not available, including for candidates currently on OPT
Must work remotely from within the continental United States, excluding California, New York, Alaska, and Hawaii

Benefits

Comp & perks

Curated development plans
Professional development
Health and wellness benefits
401(k) savings plan
Pension plan
Paid time off
Paid parental leave
Disability insurance
Supplemental life insurance
Employee assistance program
Paid holidays
Tuition reimbursement
Other incentives
Annual incentive bonus plan