Medicare Business Systems Analyst

About this role

Job#: 3026145
Job Description:
Job Description
Job Title: Medicare Business Systems Analyst


100% Remote


Expenses allowed: no


Corewell Health Equipment to be provided.


Job Summary:


We are a large Medicare Advantage (MAPD) health plan undergoing a major core system transformation, migrating from TriZetto Facets to Epic Tapestry effective August 1, 2026. We are seeking an experienced Contract Business Systems Analyst to backfill a key team member during maternity leave and to support critical initiatives during system migration and Annual Enrollment Period (AEP) readiness.


This role will be embedded within our Medicare Business Systems Analyst team and will partner closely with business, IT, and vendor stakeholders to ensure continuity of operations, accurate requirements delivery, and successful testing and implementation during a high impact period.


Essential Functions:

• Serve as a Business Systems Analyst supporting Medicare Advantage operational processes during Epic Tapestry migration and AEP preparation
• Elicit, analyze, and document business and technical requirements related to:

• Medicare enrollment and eligibility
• Premium billing and payment processing
• Member fulfillment (ANOC, EOC, Formularies, Member Letters, etc.)

• Translate business needs into clear functional and technical requirements for development teams
• Collaborate closely with developers and technical teams to clarify requirements, answer questions, and support solution design
• Create, maintain, and execute test cases and test scenarios to validate system changes and ensure business requirements are met
• Support functional testing, integration testing, and user acceptance testing (UAT); document defects and track resolution
• Manage and track work in JIRA, including user stories, acceptance criteria, assumptions, and status reporting
• Develop and maintain process flows and current/future state documentation using Visio
• Supp...