United States onlyPOSITION SUMMARY
The Business Analyst III (Billing) is a senior IT Business Analyst with primary responsibility for leading analysis and solution direction specifically on complex insurance billing initiatives. This role ensures a tight focus on billing, payments, commissions, collections, and financial integration, bridging business needs and IT solutions at the enterprise level to enable scalable, effective billing capabilities. This position provides strategic guidance on billing system capabilities, advises on key billing solution decisions, and acts as the billing domain authority.
DUTIES & RESPONSIBILITIES
- Spearhead analysis for large and complex initiatives impacting insurance billing, payments, commissions, collections, and financial integrations
• Drive end-to-end requirement lifecycle, including discovery, documentation, validation, and solution alignment for enterprise billing capabilities.
• Facilitate cross-functional workshops with Billing, Finance, Product, Operations, and IT stakeholders to define and align business and system requirements.
• Perform cross-system impact analysis across billing and related enterprise systems to ensure solution consistency and alignment.
• Define solution approaches with architects, engineering leaders, and stakeholders.
• Influence enterprise roadmap planning and contribute to billing system capability and modernization decisions.
• Establish and promote analysis standards, documentation practices, and best practices across initiatives.
• Provide strategic recommendations for process, system, and operational improvements in billing.
• Direct complex UAT planning and execution, including coordination of defect resolution and business sign-off
• Mentor and guide Business Analysts, providing functional leadership and strengthening team capability.
• Act as the functional lead and trusted advisor for billing-related initiatives and decision-making discussions.
• Collaborate closely with IT delivery teams, QA, and business stakeholders, ensuring successful solution delivery and adoption.
• Ensure compliance with federal, state, and industry regulations impacting insurance billing.
• Perform other duties as required to support organizational objectives and the successful delivery of billing initiatives.
EDUCATION & EXPERIENCE REQUIREMENTS
- A Bachelor’s degree in Computer Science, Information Systems, Business Administration, or a related field is preferred. Equivalent combination of experience, certifications, and specialized training will also be considered.
• 7+ years of Business Analyst experience, with focus on insurance billing, finance, or related financial systems
• Deep domain expertise in insurance billing processes, including invoicing, payments, commissions, collections, refunds, write-offs, reinstatements, and agency billing
• Proven experience leading large-scale, cross-functional initiatives involving billing, policy administration, product configuration, regulatory changes, and system integrations
• Strong experience working in enterprise Agile environments, including leading requirements activities, backlog management, and supporting end-to-end delivery cycles
• Demonstrated ability to influence solution direction, drive alignment across stakeholders, and contribute to enterprise roadmap and capability planning discussions
• Experience serving as a functional lead or trusted advisor for complex billing or financial system initiatives
• Demonstrated experience mentoring and guiding Business Analysts to strengthen domain knowledge, analysis practices, and delivery effectiveness
• Strong understanding of system integrations, APIs, and data flows supporting insurance policy and billing ecosystems (hands-on technical depth not required, but strong conceptual understanding expected)
