Expert Claims Review Business Analyst
Sapphire Digital, Part of Zelis
Massachusetts · Texas · Florida · New Jersey · Missouri · St. Louis, MO · Remote$71k–$90.3kPosted Jul 12, 2026
Skip to main contentWe use cookies to make the safest and most effective website possible. DeclineAccept CookiesZelis CareersSign InExpert Claims Review Business Analyst page is loadedExpert Claims Review Business AnalystApplylocationsUS MO St. Louis (Corp)US MO RemoteUS NJ RemoteUS MA RemoteUS FL RemoteView All 6 Locationstime typeFull timeposted onPosted 12 Days Agojob requisition idJR111034At Zelis, we Get Stuff Done. So, let’s get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients.At Zelis, AI is woven into the fabric of how we work. Every associate is expected - and empowered - to partner with AI to challenge the status quo, accelerate innovation, and amplify their impact. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are.Position OverviewPosition Overview:The Business Analyst is responsible for enabling high quality business analytics solutions in an Agile or Kanban context that deliver valued business outcomes and informed decisions for Zelis’ key stakeholders. The Business Analyst works as part of the Scrum team to facilitate clear and open communication between Business Owners, Development, Quality Assurance, and the Product Owner. This role provides a major contribution to enhancing Zelis’ overall capacity to meet the information technology needs of an ever-changing healthcare market. One of the core skills of a Business Analyst is requirements management (i.e., user and enabler stories). Developing stories and accurately defining the business solution begins with eliciting, understanding, and analyzing and the needs of the business. A core competency of this role is critical thinking, disciplined thinking that is clear, rational, open-minded, and informed by evidence. This person will act as liaison among Business Owners and/or Solutions Owners (i.e., Product Owner) to gather, analyze, document, communicate and validate business and system requirements and business methodologies. They will create and maintain Kanban or Agile artifacts which could include but are not limited to • Workflows/diagrams• User Stories • Enabler Stories • Release Notes • User Guides. Business Analysts will always look for ways to improve the current state (“AS-IS”) by recommending a more efficient future state (“TO-BE”)What you’ll do: Participate in relevant ceremonies: Daily Stand-Ups, Backlog Grooming, Sprint Planning, Sprint Review, Sprint Retrospective.Leverage AI through all aspects of the role to facilitate user stories and requirements, acceptance criteria or any other aspect of their roleAssist with the elaboration of the user stories and requirements, supporting team members with their work where requiredBe responsible for providing multi-disciplinary teams with user stories and coaching to define the business-driven acceptance criteria and test cases. Proactively support the uplift of Agile or Kanban practices and foster a culture of continual service...