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Pega Systems Analyst - Healthcare Claims

Randstad DigitalMason, OH🇺🇸United StatesPosted 17 Jul 2026

Quick Overview

Salary
$52 - $53/hr
Work Type
Remote
Level
Mid Senior

Job Description

job summary:

Responsibilities include leading requirements gathering, assisting with system design, supporting testing and implementation, and developing use cases and documentation using standard tools. The analyst will also help identify process efficiencies and opportunities for automation, including dashboard development and reporting enhancements.





location: Telecommute

job type: Solutions

salary: $52 - 53 per hour

work hours: 9am to 6pm

education: Bachelors



responsibilities:

Responsibilities include leading requirements gathering, assisting with system design, supporting testing and implementation, and developing use cases and documentation using standard tools. The analyst will also help identify process efficiencies and opportunities for automation, including dashboard development and reporting enhancements.




qualifications:

Experience with Pega, claims operations (including Edifecs/portal intake and balancing), and healthcare payer environments such as Anthem, Beacon Health Options, or ValueOptions is highly preferred. Strong communication skills and the ability to translate business needs into technical requirements are essential. Experience in inbound claims processing and SQL skills. Desired Skills & Experience - Experience with Pega, claims operations (including Edifecs/portal intake and balancing), and healthcare payer environments




Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad Digital, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad Digital offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.


It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.



Skills

401k
SQL
Requirements Gathering

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