
1001 - 5000 employees
Founded 2005
🏥 Healthcare
💼 Consulting
⚕️ Healthcare Insurance
Healthcare • Consulting • Healthcare Insurance
HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.
🔥 13 hours ago
🇺🇸 United States – Remote
💵 $114k - $125k / year
⏰ Full Time
🟠 Senior
🧐 Business Analyst
🦅 H1B Visa Sponsor
👻 Ghost score 0%
Improve your chances of getting an interview by checking your resume score before you apply.

1001 - 5000 employees
Founded 2005
🏥 Healthcare
💼 Consulting
⚕️ Healthcare Insurance
Healthcare • Consulting • Healthcare Insurance
HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.
• Own and support integrations across payroll, benefits, identity management, finance and other enterprise systems • Monitor integration health, resolve failures and improve reliability • Administer Claude Enterprise workspace and user provisioning, roles, permissions, usage, security configuration and SSO/identity integrations • Drive Claude adoption by building onboarding paths, usage guidelines and internal enablement • Configure and improve enterprise systems, business processes, condition rules and security • Automate repetitive work using business process automation, calculated fields, iPaaS tooling and Claude-powered workflows • Measure integration uptime, data quality, Claude adoption and usage, and process cycle time • Partner with business stakeholders to identify friction, translate findings into requirements and recommend changes • Design scalable solutions that account for upstream and downstream dependencies • Use AI tools, including Claude, for analysis, documentation, testing and solution design • Expand platform ownership, systems scope and stakeholder relationships as the company grows • Maintain documentation of system configuration, integration architecture, data flows and Claude governance
• 5+ years in business systems, integrations or IT platform roles • Direct, hands-on experience building and supporting enterprise integrations, including APIs, EIB-style tooling, Core Connectors or similar • Experience administering an enterprise SaaS or AI platform, such as Claude Enterprise, Microsoft 365, Google Workspace or ChatGPT Enterprise • Experience with access management, security configuration and governance • Strong knowledge of APIs, SFTP, middleware, SSO and enterprise data flows • Hands-on automation experience with business process logic, calculated fields or iPaaS platforms such as MuleSoft, Workato or Boomi • Experience reducing manual work through automation • Enthusiasm for AI platforms and enterprise adoption, including technical configuration and change management • Experience translating business requirements into system configuration • Strong data fluency, including validating, interpreting and explaining data • Ability to work with ambiguity • Ability to translate technical complexity for business and non-technical audiences • Familiarity with data privacy and security frameworks such as HIPAA or HITRUST • AI-first approach and daily use or experimentation with AI tools • Remote, US geographic responsibility • Candidates may be required to complete a pre-employment criminal background check
• Remote work environment • May require travel dependent on company needs • Reasonable accommodations for individuals with disabilities • Equal opportunity and workforce diversity commitment
Apply Now🔥 17 hours ago
Customer Care Lead Business Analyst optimizing Wave and SMB support operations for H&R Block’s tax services. Improving knowledge, training, quality programs, processes, and chatbot self-service.
🔥 19 hours ago
Business Analyst supporting Pluribus Digital’s federal TTB platform. Translating stakeholder needs into requirements while improving production support, Agile delivery, and system operations.
🔥 19 hours ago
Third-party risk analyst securing Samsara vendors and partners. Managing assessments, remediation, audits, and automation for the IoT-powered Connected Operations Cloud.
🇺🇸 United States – Remote
💵 $110.7k - $167.4k / year
💰 Seed Round on 2014-08
⏰ Full Time
🟡 Mid-level
🟠 Senior
🧐 Business Analyst
🦅 H1B Visa Sponsor
🔥 22 hours ago
Business Analyst managing end-to-end renewals for Thomson Reuters’ legal software products. Developing pricing proposals, guiding negotiations, and optimizing renewal operations.
🇺🇸 United States – Remote
💵 $74.2k - $137.8k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
🧐 Business Analyst
🦅 H1B Visa Sponsor
🔥 22 hours ago
Senior Business Analyst supporting Gainwell Technologies’ Medicaid modernization and Provider Plus capabilities. Translating healthcare policies into traceable requirements, mappings, and implementation decisions.
🇺🇸 United States – Remote
💵 $69k - $99.2k / year
💰 Grant on 2023-06
⏰ Full Time
🟠 Senior
🧐 Business Analyst
🦅 H1B Visa Sponsor