Senior Business Analyst Jobs in Rochester, NY (NOW HIRING)

Your analytics career, with a purpose behind every query.

The Associate Business Analyst role at Elm & Oak Health is where entry-level talent turns into real expertise. You'll work alongside senior analysts, developers, and department leaders to gather requirements, validate reports and data, and support the systems that power our care management work - building toward greater ownership and independence with every project. It's the kind of foundational, mentored experience that turns a first job into a career.

Elm & Oak Health has spent over 50 years improving access to quality healthcare for individuals and families served by government-sponsored insurance programs. As a leading not-for-profit Care Management Agency, we're known for compassionate, empowered, and collaborative work - and for a culture that supports our people as much as the members we serve. Come grow with a team that values accuracy, curiosity, and steady progress, backed by flexible work arrangements, competitive pay, and superior benefits.

Health Systems Analyst
Grade 209
This is a full time position, working from home.
The minimum and maximum annual salary that Elm & Oak Health believes in good faith to be accurate for this position at the time of this posting are $67,604 - 82,628. In addition to your salary, Elm & Oak offers a comprehensive benefits package (all benefits are subject to eligibility requirements) and non-monetary perks. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

POSITION SUMMARY

The Associate Business Analyst is an entry-level position supporting analytics, reporting, and application development activities across the organization. Working under the direction of senior analysts, developers, and department leadership, this role gathers and documents business requirements, validates reports and data, supports testing of new and modified systems, and helps translate operational needs into clear specifications the technical team can act on.

This position is structured as a development role. The Associate Business Analyst is expected to begin with well-defined assignments and close guidance, and to progressively build proficiency in data analysis, query writing, requirements documentation, and the healthcare programs the organization supports. Success in this role is measured by accuracy, thoroughness, responsiveness, and steady growth in independence. This position operates within a HIPAA-regulated environment and is accountable for handling member and client data appropriately.

ESSENTIAL JOB DUTIES/FUNCTIONS

% of Time

Essential Function

25%

Gather, Document, and Clarify Business Requirements

• Meet with internal stakeholders and end users to collect and record business needs, current processes, and desired outcomes.
• Draft requirements documents, user stories, acceptance criteria, and specifications for review by senior staff.
• Ask clarifying questions to resolve gaps, ambiguities, and conflicting information before work is handed to developers or analysts.
• Document data definitions, business rules, calculation logic, and report specifications.
• Confirm completed work against documented requirements and communicate discrepancies.

Validate Reports, Data, and System Changes

• Review reports, dashboards, and data extracts for accuracy, completeness, and reasonableness prior to release.
• Compare output against source data and expected results and document any variances found.
• Execute test plans and test cases for new and modified reports, applications, and data processes.
• Coordinate and support user acceptance testing, including preparing test scenarios and collecting stakeholder feedback.
• Log defects with clear reproduction steps and track them through resolution and retest.

15%

Support Data Analysis and Routine Reporting

• Fulfill ad hoc data and reporting requests under the direction of senior analysts.
• Write and modify basic SQL queries to retrieve, summarize, and cross-check data.
• Build and maintain recurring reports, trackers, and summary files in Excel and organizational reporting tools.
• Assemble and format data for distribution to internal departments, program leadership, and external partners.
• Identify data quality issues, anomalies, and trends observed during routine work and escalate them appropriately.

15%

Produce and Maintain Documentation

• Create and maintain process documentation, workflow diagrams, data dictionaries, and report inventories.
• Write end-user instructions, job aids, and knowledge base articles for supported systems and reports.
• Maintain version control and organization of departmental documentation and shared files.
• Document meeting notes decisions, and follow-up items and distribute them to participants.
• Keep documentation current as systems, reports, and business processes change.                

15%

Provide Project and Intake Coordination Support

• Maintain accurate work item, request, and issue records in the team project tracking system.
• Perform initial intake and triage of incoming report, data, and enhancement requests and route them for prioritization.
• Track task status, deadlines, and outstanding dependencies and provide status updates to the team.
• Schedule and prepare materials for project meetings, requirements sessions, and stakeholder reviews.
  • Follow up on open items to keep projects and requests moving toward completion.

10%

Apply Data Privacy, Security, and Compliance Practices

• Handle protected health information and member-related data in accordance with HIPAA and the Minimum Necessary standard.
• Follow organizational policies for data access, storage, transmission, and disposal.
• Avoid exposure of confidential data, credentials, and member identifiers in documentation, test files, screenshots, and email.
• Report suspected data quality, privacy, or security concerns promptly to a supervisor.
• Complete all required compliance, privacy, and security training.

Total must equal 100% - essential functions should be completed at least 10% of the time

• Attend regularly scheduled department and intradepartmental meetings.
• Work effectively in a team environment while performing multiple tasks.
• Participate in training, mentoring, and skill development activities provided by the department.
• Work collaboratively with internal and external staff from diverse healthcare, operational, and technical backgrounds.
• Work on multiple assignments in an organized manner, maintaining excellent communication with team members.
• Seek guidance and escalate promptly when an assignment is unclear or exceeds current skill level.
• Performs other duties as assigned.

PHI MINIMUM NECESSARY USE: This staff position PHI access will be determined based on Minimum Necessary standards. The Minimum Necessary Grid can be found on the Human Resources and Compliance Web pages.

This job description is only a summary of the typical functions of the job, not an exhaustive or comprehensive list of all possible job responsibilities, tasks and duties. Additional responsibilities, tasks and duties may be assigned as necessary.

Elm & Oak Health is an Equal Opportunity Employer