Business Analyst
About The Company Sentara Health is a leading integrated healthcare organization committed to improving health outcomes and enhancing the quality of life for the communities it serves. With a rich history of delivering compassionate, patient-centered care, Sentara operates a comprehensive network of hospitals, outpatient facilities, and health services across multiple states. The organization emphasizes innovation, collaboration, and community engagement, striving to set new standards in healthcare excellence. Sentara’s diverse workforce of nearly 30,000 dedicated professionals works tirelessly to advance health initiatives, foster inclusivity, and deliver exceptional service. As a forward-thinking employer, Sentara offers a dynamic environment that encourages professional growth, continuous learning, and meaningful contributions to health and wellness. About The Role Sentara Health is seeking a highly skilled Senior Business System Analyst to join its team in a fully remote capacity. This pivotal role involves supporting, enhancing, and implementing software applications that are integral to the organization’s operational success. The Senior Business System Analyst will oversee and coordinate medium-scale projects or specific components within larger initiatives, developing detailed project plans, timelines, and resource allocations. The role requires a strategic thinker capable of analyzing complex business processes, designing effective solutions, and ensuring seamless integration of technology to optimize enrollment and eligibility functions. The successful candidate will act as a liaison between business units, IT teams, and external partners, ensuring that technical solutions align with operational needs and regulatory standards. This position offers an excellent opportunity to contribute to impactful projects that improve healthcare delivery and operational efficiency across multiple states.
Qualifications
Candidates should possess a bachelor’s degree in fields such as Computer Science, Business, Information Systems, Finance, Engineering, or related disciplines. Alternatively, candidates with over six years of relevant experience without a degree will also be considered. A minimum of four years of experience in a similar role is required, demonstrating proficiency in SQL, with additional familiarity in HTML and CSS being preferred. The ideal candidate will have a solid understanding of the Software Development Life Cycle (SDLC) and experience working with data analysis tools and methodologies. Experience with healthcare-specific systems such as Salesforce, QNXT, Edifecs, or similar platforms is advantageous. Strong analytical, communication, and project management skills are essential, along with the ability to work collaboratively in a fast-paced environment. Knowledge of regulatory standards such as HIPAA and industry trends related to EDI 834 transactions will be beneficial.
Responsibilities
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, including plan sponsors and third-party administrators. Proactively identify opportunities for process improvement and innovation within enrollment and eligibility operations. Drive initiatives aimed at increasing customer satisfaction by streamlining EDI processes, improving data accuracy, and optimizing workflows. Evaluate project team performance and ensure objectives, targets, and timelines are met for enrollment and eligibility enhancements. Oversee the design and implementation of new enrollment solutions, assessing their impact on operational efficiency and customer satisfaction. Create and distribute monthly reports analyzing performance and operational metrics using Tableau, Excel, and other analytic tools. Stay informed of regulatory changes and industry trends regarding EDI 834, HIPAA, and member enrollment processes. Provide training and mentorship to junior analysts and business units on EDI standards and enrollment best practices.
Benefits
Sentara Health offers a comprehensive and competitive benefits package designed to support the well-being of its employees and their families. Benefits include medical, dental, and vision insurance plans, ensuring access to quality healthcare. The organization also provides adoption, fertility, and surrogacy reimbursement programs up to $10,000, supporting diverse family-building needs. Paid time off (vacation, sick leave, holidays) and paid parental and family caregiver leave are available to promote work-life balance. Additional benefits include emergency backup care, long-term and short-term disability, critical illness coverage, and life insurance policies. Sentara offers a 401(k)/403(b) retirement plan with employer matching contributions, along with tuition assistance of up to $5,250 annually and student loan repayment programs up to $10,000. Pet insurance and legal resources are also available. Employees have opportunities to earn discretionary bonuses based on system performance and individual contributions, fostering a motivating work environment. Equal Opportunity Sentara Health is an equal opportunity employer committed to fostering a diverse and inclusive workforce. The organization values the unique perspectives and experiences of all employees and does not discriminate based on race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity