Welcome page

Business Systems Analyst

Requisition ID 2025-5116
Location Listed on Requisition Posting : Address 2
Philexcel Business Center 16
Location Listed on Requisition Posting : City
Clark
Location Status
Onsite
Segment
Sound Physicians Segment
Work Shift Time Zone
Eastern Time

About Us

Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.

Job Summary

  • The Business Systems Analyst will be responsible for configuring and optimizing internal billing systems that support key revenue cycle management (RCM) workflows. This role demands a strong foundation in US healthcare operations, including provider enrollment, payer contracting, government insurance programs (Medicaid and Medicare), and system rules configuration. The analyst will serve as a subject matter expert (SME) in translating business requirements into system configurations and ensuring billing platforms align with regulatory and operational needs. Success in this role requires both technical aptitude and deep healthcare domain knowledge, along with the ability to collaborate effectively with Business Analysts, Quality Analysts, and other stakeholders across implementation and operations teams. 

Essential Functions and Tasks

  • Configure and maintain billing system components to support revenue cycle processes such as claims generation, eligibility verification, provider enrollment, and payment posting.
  • Translate business and regulatory requirements into accurate and scalable system configurations.
  • Set up payer-specific rules and workflows including Medicare, Medicaid, and commercial payer guidelines.
  • Support provider credentialing and enrollment data setup within the system to ensure timely claims submission.
  • Work closely with Business Analysts to gather requirements and identify configuration solutions that align with operational goals.
  • Partner with Quality Analysts to validate and test system configurations prior to go-live.
  • Identify areas for process improvement and propose system enhancements to improve billing accuracy and operational efficiency.
  • Document system configurations, workflows, and processes in a clear and maintainable format.
  • Participate in user acceptance testing (UAT) and support training efforts as needed.
  • Stay informed on regulatory changes and industry trends impacting healthcare billing and payer requirements.
  • Perform ongoing maintenance activities within billing systems, including provider enrollment updates, annual payer contract renewals, fee schedule updates, and other configuration changes to ensure continued alignment with regulatory and operational requirements. 

Education and Experience Requirements

  • Bachelor’s degree in Healthcare Administration, Information Systems, Computer Science, or a related field (or equivalent work experience).
  • 3+ years of experience in a healthcare business systems analyst or billing systems configuration role.
  • Strong experience with US healthcare revenue cycle management, including insurance verification, claim submission, payment posting, and denials management.
  • Familiarity with government insurance programs such as Medicare and Medicaid.
  • Experience configuring healthcare billing platforms or RCM systems (e.g., Epic, Athenahealth, Cerner, or other custom billing engines). 

Knowledge, Skills, and Abilities

  • Deep understanding of US healthcare payer-provider workflows and reimbursement models.
  • Strong grasp of provider enrollment and payer contracting processes.
  • Experience configuring billing rules, payer-specific workflows, and eligibility validation protocols.
  • Strong problem-solving and analytical skills; ability to break down complex workflows into system logic.
  • Proficiency with documentation tools and workflow diagrams.
  • Excellent verbal and written communication skills, including the ability to communicate technical information to non-technical stakeholders.
  • Collaborative mindset with a strong sense of ownership and accountability.
  • Ability to manage multiple priorities in a fast-paced, deadline-driven environment. 

Ventra Health

Equal Employment Opportunity (Applicable only in the US)
Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions.
 
Recruitment Agencies
Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.
 
Solicitation of Payment
Ventra Health does not solicit payment from our applicants and candidates for consideration or placement.

 

Attention Candidates
Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters.
To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/. 

 

Statement of Accessibility
Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.

Options

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed