Business Systems Analyst Jobs in Nashville, TN
Business Systems Analyst jobs in Nashville are in strong demand, concentrated in Midtown, the Gulch, and downtown's central business district across healthcare IT, financial services, and logistics technology. Leading employers include Oracle, L3Harris, and Amazon. See the openings below and apply to the ones that match your experience.
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Senior Revenue Cycle Business Analyst & Team Lead
If you’re an experienced revenue cycle professional who wants to do more than analyze reports, this is your opportunity to lead meaningful change. At Aegis, you’ll turn complex data into practical improvements, strengthen reimbursement outcomes, and guide a team dedicated to building a more efficient, compliant, and effective revenue cycle operation.
Why Aegis?
At Aegis, you’ll join a national leader in healthcare and forensic laboratory sciences with a mission of helping clinicians make better decisions through science-driven testing and consulting services. Founded in 1990, Aegis delivers evidence-based, clinically actionable insights in areas such as medication compliance, substance use, and drug-drug interactions.
You’ll have the opportunity to improve financial operations while representing a company built on Integrity, Accountability, Innovation, Teamwork, Respect, and Excellence.
Role Overview
As the Senior Revenue Cycle Business Analyst & Team Lead, you will analyze and optimize financial processes across patient registration, coding, billing, denials, collections, and payer resolution. You will identify trends, translate findings into actionable strategies, and supervise Revenue Cycle Specialists and Business Analysts as they improve workflows, appeals, reporting, and reimbursement outcomes.
Key Responsibilities
- Analyze denied claims, identify root causes, and implement corrective actions that reduce repeat denials and improve reimbursement.
- Review medical codes, billing information, payer policies, testing protocols, and internal documentation to support accurate, compliant claim decisions and effective appeal strategies.
- Ensure adherence to healthcare regulations and coding standards, including HIPAA, ICD-10, and applicable state and federal requirements.
- Analyze revenue cycle data—including patient demographics, insurance verification, claim submissions, denial trends, and payment history—to identify patterns, risks, and opportunities.
- Develop and communicate key performance indicators such as days sales outstanding, denial rates, clean claim submission rates, and collection efficiency.
- Partner with payers and internal teams across managed care, clinical, legal, billing, and other functions to resolve outstanding claims and complex issues.
- Design and implement workflow changes, training programs, system updates, and process controls that improve revenue cycle efficiency and performance.
- Supervise Revenue Cycle Specialists and Business Analysts through work planning, coaching, feedback, cross-training, performance development, and review of deliverables.
- Translate complex findings into clear summaries and actionable next steps that align stakeholders and maintain momentum on strategic initiatives.
Qualifications
- High school diploma or GED required; a degree in Business, Finance, or a related discipline is preferred.
- Healthcare revenue cycle experience, including denials management, through one of the following pathways: at least 10 years with a high school diploma or GED; at least 7 years with a bachelor’s degree; or at least 5 years with a master’s degree.
- Strong knowledge of Medicare, Medicaid, Blue Cross Blue Shield, third-party payer processes, and applicable reimbursement requirements.
- Experience using reporting tools and advanced Microsoft Excel skills.
- Demonstrated ability to apply critical thinking to reimbursement and denial analysis and turn complex information into practical recommendations.
- Strong leadership, communication, organization, and relationship-building skills, with the ability to coach team members and collaborate effectively across functions.
Work Environment
This position is primarily remote and uses standard office equipment. Onsite work may be required as business needs arise and as directed.
Ready to make an impact?
If you’re an analytical revenue cycle leader who enjoys developing people, improving processes, and delivering measurable results, we encourage you to apply.
Aegis Sciences Corporation is an Equal Opportunity Employer
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Who's Hiring



Top Industries Hiring
- Technology & Software
- Investment & Asset Management
- Manufacturing
Business Systems Analyst Jobs in Nashville: Frequently Asked Questions
How do I get a business systems analyst job in Nashville?
Nashville's strongest hiring comes from healthcare systems, health IT vendors, and financial services firms clustered in Midtown and the Gulch. Candidates who understand healthcare data workflows or financial systems integration stand out locally. Building familiarity with tools like Salesforce, Epic, or SQL and targeting the dense corridor of employers between Downtown and Cool Springs gives you a real edge in this market.
Which companies hire business systems analysts in Nashville?
Nashville business systems analyst roles are posted by Oracle, L3Harris, and Amazon and others right now, based on current listings on Migrate Mate as of September 2026. Nashville's employer mix skews heavily toward large healthcare systems, health IT companies, insurance carriers, and logistics firms with regional headquarters in the metro.
Are there remote business systems analyst jobs in Nashville?
Yes, and the role is well suited to remote work given its analytical and documentation-heavy nature. About 48% of business systems analyst openings tied to Nashville are remote or hybrid as of September 2026, reflecting the desk-based character of the work. Requirements gathering and stakeholder meetings tend to pull Nashville-area roles back on-site at least part of the week.
How can I get a business systems analyst job in Nashville with little or no experience?
The most realistic entry path in Nashville is targeting junior business analyst or systems support roles at the city's mid-size health IT companies and insurance carriers, which regularly hire candidates transitioning from adjacent roles in operations or data coordination. Vanderbilt University Medical Center and HCA Healthcare both run analyst development programs. A business analysis certification and hands-on SQL or Visio skills help candidates move from support roles into full analyst positions.
Which industries hire the most business systems analysts in Nashville?
Nashville business systems analyst roles concentrate in Technology & Software, Investment & Asset Management, and Manufacturing, based on current listings on Migrate Mate as of September 2026. Nashville's identity as a healthcare and managed-care hub means health IT and revenue cycle operations generate a disproportionate share of local analyst demand compared to most similarly sized metros.
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