Job Details
Business Systems Analysis Professional
**Become a part of our caring community and help us put health first**
The Business Systems Analysis Professional 2 will support the Payment Integrity Electronic Medical Record (EMR) Team in the onboarding, implementation, and maintenance of new EMR vendor connections, with a primary focus on Cerner and Integrated Delivery Network (IDN) projects.
This position will serve as the main point of contact for Cerner provider integrations scheduled to begin going live in 2026, ensuring successful recruitment, performance monitoring, troubleshooting, and product testing. The Business Systems Analysis Professional 2 performs analysis of business, process and user needs, documentation of requirements, cost/benefit analysis and translation into proper system requirement specifications.
The Business Systems Analysis Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The **Business Systems Analysis Professional 2** is responsible for supporting the **Payment Integrity EMR Team** in expanding and maintaining electronic medical record connections with healthcare providers. This role will primarily focus on the onboarding and integration of a new EMR vendor, **Cerner** , with go-live connections scheduled for **2026** , as well as managing **Integrated Delivery Network (IDN)** project requests.
The role is essential to advancing Interop's EMR connectivity strategy by improving provider engagement, data quality, and operational efficiency within Payment Integrity's EMR initiatives. The Business Systems Analysis Professional 2 formulates and defines systems and objectives based on both user needs and a good understanding of applicable business systems and industry requirements. Devises or modifies procedures and processes to solve complex problems considering computer equipment capacity and limitations, operating time, and form of desired results. Validates benefits achieved from solution implementation. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
**Key Responsibilities**
+ Serve as the **primary support resource** for Cerner provider EMR connections as they transition to live production.
+ **Recruit and onboard** providers to establish new EMR connections within the Payment Integrity program.
+ **Monitor and analyze performance metrics** to ensure data quality, accuracy, and timeliness.
+ **Troubleshoot** connectivity and data exchange issues in collaboration with internal technical teams, vendors, and providers.
+ Conduct **testing and validation** for product updates, enhancements, and issue resolutions related to EMR connections.
+ Support **IDN projects and business requests** , ensuring alignment with enterprise interoperability goals.
+ Maintain detailed documentation of system requirements, workflows, and process improvements.
+ Collaborate cross-functionally with IT, business operations, and external partners to drive continuous improvement.
+ Provide subject matter expertise and guidance to internal teams regarding EMR connection functionality and performance.
**Use your skills to make an impact**
**Required Qualifications**
+ 5+ years of technical experience - Working with computers and utilizing Microsoft office suite including Word, Excel and PowerPoint
+ Experience in problem analysis and process
+ Strong analytical and critical thinking skills
+ Demonstrated ability to work collaboratively across technical and business teams.
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
+ Excellent written and verbal communication skills
+ Experience with leading meetings and presenting metrics
**Preferred Qualifications**
+ Problem solving and consultation within complex environments
+ Working knowledge of ad-hoc query tools and data repositories that support data extraction and manipulation
+ Knowledge of Systems Development Life Cycle
+ Knowledge of Electronic Medical Record Systems and Terminology
**Additional Information**
**Virtual Pre-Screen**
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn't missed) inviting you to participate in a HireVue interview. In this interview, you will listen to a set of interview questions over your phone or text and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website.
**Work-At-Home Requirements**
At minimum, a download speed of 25 mbps and an upload speed of 10 mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$60,800 - $82,900 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 12-22-2025
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
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**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
The Business Systems Analysis Professional 2 will support the Payment Integrity Electronic Medical Record (EMR) Team in the onboarding, implementation, and maintenance of new EMR vendor connections, with a primary focus on Cerner and Integrated Delivery Network (IDN) projects.
This position will serve as the main point of contact for Cerner provider integrations scheduled to begin going live in 2026, ensuring successful recruitment, performance monitoring, troubleshooting, and product testing. The Business Systems Analysis Professional 2 performs analysis of business, process and user needs, documentation of requirements, cost/benefit analysis and translation into proper system requirement specifications.
The Business Systems Analysis Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The **Business Systems Analysis Professional 2** is responsible for supporting the **Payment Integrity EMR Team** in expanding and maintaining electronic medical record connections with healthcare providers. This role will primarily focus on the onboarding and integration of a new EMR vendor, **Cerner** , with go-live connections scheduled for **2026** , as well as managing **Integrated Delivery Network (IDN)** project requests.
The role is essential to advancing Interop's EMR connectivity strategy by improving provider engagement, data quality, and operational efficiency within Payment Integrity's EMR initiatives. The Business Systems Analysis Professional 2 formulates and defines systems and objectives based on both user needs and a good understanding of applicable business systems and industry requirements. Devises or modifies procedures and processes to solve complex problems considering computer equipment capacity and limitations, operating time, and form of desired results. Validates benefits achieved from solution implementation. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
**Key Responsibilities**
+ Serve as the **primary support resource** for Cerner provider EMR connections as they transition to live production.
+ **Recruit and onboard** providers to establish new EMR connections within the Payment Integrity program.
+ **Monitor and analyze performance metrics** to ensure data quality, accuracy, and timeliness.
+ **Troubleshoot** connectivity and data exchange issues in collaboration with internal technical teams, vendors, and providers.
+ Conduct **testing and validation** for product updates, enhancements, and issue resolutions related to EMR connections.
+ Support **IDN projects and business requests** , ensuring alignment with enterprise interoperability goals.
+ Maintain detailed documentation of system requirements, workflows, and process improvements.
+ Collaborate cross-functionally with IT, business operations, and external partners to drive continuous improvement.
+ Provide subject matter expertise and guidance to internal teams regarding EMR connection functionality and performance.
**Use your skills to make an impact**
**Required Qualifications**
+ 5+ years of technical experience - Working with computers and utilizing Microsoft office suite including Word, Excel and PowerPoint
+ Experience in problem analysis and process
+ Strong analytical and critical thinking skills
+ Demonstrated ability to work collaboratively across technical and business teams.
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
+ Excellent written and verbal communication skills
+ Experience with leading meetings and presenting metrics
**Preferred Qualifications**
+ Problem solving and consultation within complex environments
+ Working knowledge of ad-hoc query tools and data repositories that support data extraction and manipulation
+ Knowledge of Systems Development Life Cycle
+ Knowledge of Electronic Medical Record Systems and Terminology
**Additional Information**
**Virtual Pre-Screen**
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn't missed) inviting you to participate in a HireVue interview. In this interview, you will listen to a set of interview questions over your phone or text and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website.
**Work-At-Home Requirements**
At minimum, a download speed of 25 mbps and an upload speed of 10 mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$60,800 - $82,900 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 12-22-2025
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
?
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Job #NLX285667136