Lead Business Analyst with Healthcare

Business Analyst (Healthcare Payer Government Programs/Risk Adjustment) Tentative duration - 06 Months with Possible extension REMOTE (EST candidates strongly preferred) Position Summary We are seeking an experienced Business Analyst to support strategic and operational initiatives for a health plan focused on government lines of business (Medicaid, Medicare, and ACA Exchange). This role will partner closely with clinical, operational, compliance, and technology teams to drive initiatives re

Key Responsibilities: Collaborate with clinical, operational, and IT stakeholders to gather and document business and system requirementsAnalyze workflows related to Utilization Management, Care Management, and Behavioral Health programsTranslate business requirements into functional specifications, user stories, and process flowsWork closely with development teams on healthcare data exchange standards such as FHIR and HL7Ensure compliance with HIPAA and other healthcare regulatory requirementsP

Please take note that in order to proceed, you must have a LinkedIn profile and all of your educational details, including your university name, stream, and year of graduation (including bachelors and masters degrees) in the resume Candidate Must have over 10+ years of experience. Must have Healthcare Domain experience 58 years as a Business or System Analyst working with Facets. Strong understanding of claims workflows, provider validation, and benefits administration. Experience reviewing

Strong experience as a Business AnalystExcellent requirement gathering and documentation skillsExperience with Agile/Scrum methodologiesHands-on experience with JIRA and ConfluenceStrong communication and stakeholder management skillsSQL knowledge for data validation and analysisExperience with process flow diagrams and data mappingGood analytical and problem-solving abilities