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Sr System Analyst, Healthcare Financials

Amazon

Sr System Analyst, Healthcare Financials

full-timePosted: Aug 23, 2026Updated: Aug 27, 2026Seattle, Washington, United States

Job Description

Healthcare is complex, but paying for it shouldn't be. Amazon Health Services is looking for a Senior System Analyst to operationalize the financial engine that powers healthcare billing. You will translate complex healthcare billing requirements into configurable system rules that ensure every encounter is billed accurately — turning manual processes into scalable, automated workflows. In this role, you will be the bridge between business intent and system behavior — owning the logic layer that determines how charges are captured, how claims are constructed, and how payer rules are applied. This is a high-impact role as you will impact every bill that goes out. You will transform a legacy way of working by injecting a savvy data and systems skill set, backed by Amazon's engineering resources, customer obsession culture, and a leadership team that believes financial accuracy is the foundation of a sustainable healthcare business. Key job responsibilities - Partner with billing operations, finance, and clinical stakeholders to understand complex billing requirements and translate them into scalable, logical functional specifications that power the billing engine - Define and maintain billing rules, payer-specific configurations, and charge logic that drive accurate claim generation - Use data analysis to identify billing defects, revenue leakage patterns, and configuration gaps — prioritize work by financial impact, not squeaky-wheel urgency - Build and maintain reporting and monitoring to validate system behavior and catch issues proactively. Maintain documentation of business rules, configuration decisions, and system dependencies - Identify opportunities to replace manual workflows with systematic, rules-based automation — reducing human error and accelerating throughput - Design scalable processes that accommodate new service lines, payer contracts, and business models without bespoke rework - Work with engineering to ensure requirements are implementable, testable, and maintainable; participate in design discussions and QA validation

Locations

  • Seattle, Washington, United States

Salary

124,100 - 167,800 USD / yearly

Skills Required

  • SQLintermediate
  • documenting accounting conclusionsintermediate
  • system analysisintermediate
  • creating process improvements with automationintermediate
  • healthcare billing standardsintermediate

Required Qualifications

  • Bachelor's degree (degree)
  • Bachelor's degree or above in Finance, Accounting, Business, Economics or a highly analytical field (e.g., Engineering, Math, and Computer Science), or experience with SQL (experience)
  • Experience with documenting accounting conclusions, or experience communicating complex information and solutions to senior stakeholders and influencing decisions (experience)
  • 5+ years of experience in system analysis, business analysis, or technical configurations — with a focus on translating business requirements into functional specifications (experience, 5 years)

Preferred Qualifications

  • Experience in creating process improvements with automation and analysis, or experience working in a fast-paced and ambiguous environment (experience)
  • Experience working with configurable systems (billing platforms, rules engines, or similar) (experience)
  • Familiarity with healthcare billing standards (CPT/ICD coding, fee schedules, payer adjudication rules) (experience)

Responsibilities

  • Partner with billing operations, finance, and clinical stakeholders to understand complex billing requirements and translate them into scalable, logical functional specifications that power the billing engine
  • Define and maintain billing rules, payer-specific configurations, and charge logic that drive accurate claim generation
  • Use data analysis to identify billing defects, revenue leakage patterns, and configuration gaps — prioritize work by financial impact, not squeaky-wheel urgency
  • Build and maintain reporting and monitoring to validate system behavior and catch issues proactively. Maintain documentation of business rules, configuration decisions, and system dependencies
  • Identify opportunities to replace manual workflows with systematic, rules-based automation — reducing human error and accelerating throughput
  • Design scalable processes that accommodate new service lines, payer contracts, and business models without bespoke rework
  • Work with engineering to ensure requirements are implementable, testable, and maintainable; participate in design discussions and QA validation

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