Job Title: Senior Business Analyst

Job Overview:
Contemporary Staffing Solutions is seeking a Senior Business Analyst to join our client to help drive accurate and compliant enforcement of medical and claims payment policies across enterprise systems. This role focuses on translating policy intent into actionable requirements that support operational efficiency, regulatory alignment, and financial accuracy. The Senior Business Analyst partners closely with cross-functional stakeholders and external vendors to ensure policies are implemented correctly and issues are resolved end to end. This is a contract-to-hire opportunity based in Philadelphia, PA, with a hybrid schedule.

Work Schedule:
Monday - Friday normal business hours; onsite Tuesday-Thursday

Key Responsibilities of the Senior Business Analyst:

• Translate medical and claims payment policies into clear, enforceable business and system requirements across multiple control points, including claims processing and post-payment review
• Analyze system capabilities and operational workflows to determine the most effective enforcement approach, including identifying scenarios requiring manual review
• Collaborate with internal teams and external partners to implement, validate, and optimize policy configurations in alignment with business and compliance needs
• Conduct root cause analysis and lead resolution efforts for policy configuration issues, ensuring impacted claims are identified, corrected, and properly documented
• Develop and review utilization and quality metrics to confirm accurate policy application and identify gaps or risks
• Execute and support user acceptance testing, document findings, and drive corrective actions through established escalation procedures

Qualifications and Skills for the Senior Business Analyst:

• A degree in business, healthcare, or a related field is preferred, though comparable hands-on experience is equally valued
• Five or more years of experience supporting claims operations, policy enforcement, or business requirements within a healthcare or payer environment
• Familiarity with medical coding concepts; professional certifications such as CCS, CPC, RHIA, or RHIT are a plus
• Strong analytical and problem-solving abilities with the capacity to evaluate issue severity and recommend practical solutions
• Proven ability to manage priorities independently, meet deadlines, and communicate expected timelines effectively
• Clear written and verbal communication skills, with experience working across technical, operational, and compliance-focused teams
• Working knowledge of end-to-end claims processes and comfort using standard business tools including Excel, PowerPoint, Word, SharePoint, and Teams

Why Join Us?
This role offers the opportunity to influence how complex medical policies are operationalized at scale, directly impacting accuracy, compliance, and member outcomes. You’ll work in a highly collaborative, solution-focused environment where your expertise drives measurable improvements. It’s an ideal opportunity for professionals who enjoy solving complex problems and contributing to meaningful operational change.

About Us:
Contemporary Staffing Solutions (CSS) is a trusted leader in providing contract, temporary, temp-to-hire, and direct hire staffing solutions. With decades of experience, we’ve grown from a staffing agency to a nationwide provider of workforce management solutions. Our niche recruitment expertise spans Accounting & Finance, Call Center & Office Support, Human Resources, Sales & Marketing, and Information Technology. Explore more about CSS and how we connect great talent with exceptional opportunities by visiting www.ContemporaryStaffing.com.