TPA Core Services Business Analyst

🔥 14 hours ago

🇺🇸 United States – Remote

💵 $64.2k - $80.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Business Analyst

🦅 H1B Visa Sponsor

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Logo of General Dynamics Information Technology

General Dynamics Information Technology

10,000+ employees

Founded 1954

💼 Consulting

🏥 Healthcare

📦 Logistics

Consulting • Healthcare • Logistics

General Dynamics Information Technology is a company at the forefront of technological innovation, offering a wide range of services including consulting, digital modernization, and application services. The company is heavily involved in implementing solutions related to artificial intelligence, cloud computing, cybersecurity, high-performance computing, and quantum technologies. GDIT is committed to supporting government and defense sectors, providing mission-critical services such as logistics and supply chain management, intelligence, and homeland security. The company also focuses on diverse and inclusive hiring practices and actively promotes employee well-being. Through its digital accelerator solutions and pioneering use of emerging technologies, GDIT aims to propel agencies' missions forward and address complex technological challenges.

📋 Description

• Lead requirements elicitation, documentation, and refinement for eligibility, claims, provider management, member services, and payment workflows • Collaborate with technical teams, operational staff, system vendors, QA testers, and government stakeholders • Validate workflow logic and support testing efforts • Ensure requirements traceability • Resolve issues impacting TPA operations • Use requirements management tools, workflow modeling, healthcare administrative expertise, and integration analysis techniques • Support clear, aligned business requirements, workflows, and system interactions for accurate and compliant healthcare delivery • Support the World Trade Center Health Program’s third-party administrator core services

🎯 Requirements

• Technical training, certification(s), or degree • 3+ years of related experience in healthcare operations, payer systems, or federal program support preferred • Experience with requirements management • Experience with workflow/process mapping • Experience with EDI or API integrations • Experience with eligibility and claims systems • Experience with Jira, Confluence, Azure DevOps, or similar platforms • Must currently possess MBI (T2) public trust/other required clearance • US citizenship required • Ability to collaborate with technical and operational teams • Familiarity with HIPAA and secure handling of PHI/PII • Experience validating system behavior • Ability to travel 0–10% / less than 10% as needed

🏖️ Benefits

• Comprehensive medical plan options, including plans with Health Savings Accounts • Dental plan options • Vision plan • 401(k) plan with company match • Full-flex work weeks where possible • Paid vacation, sick, and personal time • Paid holidays • Paid parental leave • Paid military leave • Paid bereavement leave • Paid jury duty leave • Typically 15 days of paid leave per calendar year for new employees • Additional 10 paid holidays per year • Up to 160 hours of paid family leave in a rolling 12-month period for eligible employees • Short- and long-term disability benefits • Life insurance • Accidental death and dismemberment insurance • Personal accident insurance • Critical illness insurance • Business travel and accident insurance • AI-powered career tool identifying career steps and learning opportunities • Internal mobility team supporting career goals • Wellness packages • Award-winning culture of innovation • Military-friendly workplace

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