Business Systems Analyst - Enrollment & Member/Provider Services

Pride Health is hiring a [Business Systems Analyst - Enrollment & Member/Provider Services] to support our client's healthcare facility in [New York, NY 10004]. Interested? Apply Today!

Job Details:

Schedule: 35 hours/week, 7 hours/day, Monday-Friday

Location: New York, NY 10004

Job Type: [Travel contract / local contract / permanent/ per diem]

Contract Length: September 14, 2026 - November 7, 2026

Pay Range: $70-$76/hr.

• Pay offered is based on experience, expertise, credentialing, and education.

Job Summary

Business Systems Analyst - Enrollment & Member/Provider Services to support the implementation and stabilization of healthcare payer systems, including HealthRules Payer (HRP) and GuidingCare.

The analyst will serve as a key liaison between Enrollment, Member/Provider Services, IT, business stakeholders, and external vendors, ensuring successful system implementation, data migration, testing, operational readiness, and post-go-live stabilization.

Key Responsibilities

• Support large-scale healthcare system implementation and migration initiatives.
• Provide testing support including UAT, regression testing, SIT, and system validation.
• Validate migrated enrollment, member, demographic, and provider data.
• Review system configuration for accuracy and completeness.
• Track, triage, document, and follow up on defects and system issues.
• Develop and maintain business processes, workflows, SOPs, and system documentation.
• Support operational readiness, cutover planning, and go-live activities.
• Coordinate requirements and integration points between Enrollment and Member/Provider Services.
• Ensure business requirements are aligned across functional teams.
• Identify workflow gaps, duplication, conflicting requirements, and process issues.
• Provide post-go-live system maintenance and operational support.
• Perform data quality checks and reconciliation activities.
• Support workflow optimization and continuous process improvement.
• Act as a liaison between Operations, IT, implementation teams, and vendors.
• Support system enhancements, releases, issue resolution, and stabilization.
• Maintain implementation knowledge and documentation for ongoing operations.

Required Qualifications

• Experience as a Business Systems Analyst, Business Analyst, or Systems Analyst in healthcare.
• Healthcare enrollment experience is required.
• Experience with large-scale system migration is required.
• Experience with system implementation is required.
• Strong experience with UAT, regression testing, data validation, and defect management.
• Experience working with health plans, healthcare payers, Medicaid, Medicare, or managed care organizations.
• Strong business process and workflow analysis skills.
• Experience coordinating across business, IT, and vendor teams.
• Excellent communication, documentation, analytical, and problem-solving skills.

Preferred Qualifications

• Experience with HealthRules Payer (HRP).
• Experience with GuidingCare.
• Experience with other payer platforms such as FACETS, QNXT, MMIS, or similar systems.
• Experience with enrollment/member/provider data migration.
• Experience supporting post-go-live stabilization.
• Experience with healthcare payer implementations and integrations.

Education

Bachelor's degree in Business Administration, Healthcare Administration, Information Systems, Public Health, or a related field, or an equivalent combination of education and relevant healthcare systems/business analysis experience.

Work Location

50 Water Street, Floor 7, New York, NY 10004

Hybrid requirement: 2 days onsite per week.

Contract: September 14, 2026 - November 7, 2026

35 hours/week | Monday-Friday | 7 hours/day

Pride-Health offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors.

Equal Employment Opportunity

Pride-Health is an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law.

Fair Chance Employment

Pride-Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances.

Accommodations

We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.

Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.

Only applicable for Kentucky positions: For this type of employment, state law requires a criminal record check as a condition of employment. This applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793.