Business Analyst
Core
Bridge business stakeholders, healthcare operations, and technology teams to translate complex US healthcare payer requirements into actionable solutions.
Role type
Senior Business Analyst (US Healthcare Payer)
Builds
Functional requirements, process flows, and solutions for US healthcare payer operations and claims lifecycle.
Domain
US Healthcare, Payer Operations, Claims Management
Required skills
US Healthcare payer processes, Claims lifecycle management, Requirements gathering and analysis, Stakeholder management, Process improvement, Agile/Waterfall methodologies
Preferred skills
BRD creation, Process mapping, Gap analysis, SQL or data analysis tools
Responsibilities
Gather and validate business requirements from healthcare stakeholders; Analyze US Healthcare payer processes including claims intake, adjudication, pricing, payment, denials, and appeals; Collaborate with product and technical teams to translate needs into functional requirements; Identify opportunities for process automation and efficiency; Create detailed documentation including process flows, use cases, and user stories; Support development, testing, and UAT phases; Recommend solutions to bridge current-state and future-state processes.
Seniority
Senior, hands-on IC