Healthcare Business Analyst

Essential Qualifications & Skills:

• Bachelor's degree or equivalent experience. BA Certifications and or PMP a plus.
• Minimum 5 years of experience as a business analyst in healthcare payer/TPA in onboarding new self-funded clients or implement product in Multi-employer Trust or Health Plan Administration
• Expertise and experience in preparing High Level requirements, Use Cases, Data governance, Business Requirement Documents, Functional specifications, Test strategy & cases and Traceability matrix.
• Experience in programs that focus on system integrations with 3rd party vendors is a must.
• Proven ability to map business process and workflows, conduct gap analysis and document requirements, ensuring requirements are developed and tested.
• Excellent verbal/written communication skills; comfortable leading business and technology teams within the organization to translate business issues & requirements into technical solutions.
• Healthcare Insurance Payer experience in one of the following areas covering business & technology:
• Enrolment & Eligibility, Benefit Administration, Vendor Integrations, Claims Administration, Contribution Accounting, Clinical, Billing & Payment, Member, Provider and Employer facing portal/service
• Strong analytical and problem-solving skills;
• Ability to analyze problems and resolve issues through resolution quickly and methodically.
• Skilled at persuasive written and verbal communications that drive action or set strategic direction.
• Experience in healthcare analytics, business analysis, or a similar role.
• Strong understanding of healthcare systems, policies, and regulatory requirements.
• Proficient with Word, Excel, PowerPoint and Visio MS Office, Jira.
• Self-motivated and detail-oriented
• Flexibility to adapt quickly to changing requirements and priorities.

Preferred Qualifications:

• Any relevant certifications in health insurance, healthcare analytics, or related areas would be an advantage.
• Effective time management and the ability to handle multiple priorities.
• Passion for continuous learning and staying updated with the latest Health care scenarios.
• Client-focused with a commitment to delivering high-quality solutions.