Enterprise Business Analyst - Product & Technology

Role : Enterprise Business Analyst - Product & Technology

Location : Remote

Experience : 10+ Years

Mandatory Skills : Healthcare Payer, Billing, Claims, Accounting, TPA Third party Application

About this Role:

We are seeking a passionate, results-oriented Sr. Business Analyst in the healthcare payer domain

with Multi-employer/Benefit Administration of self-funded client experience. The ideal candidate

will excel in client interactions, and can collaborate effectively with stakeholders to analyze, define

and manage requirements for client or product. He / She will have worked in-depth in healthcare

payer domain in Health Plan Administration (Benefits & Claims Administration, Vendor integration,

Portals) or Multi-employer/Benefit Administration space. Project experience involving data

conversation, data migration, data governance and framework is a plus. This person must possess a

blend of business and technical savvy; strong communication skills to collaborate across internal

and external stakeholders.

Job Responsibilities:

Work with business and solution delivery owners to define and document requirements for

the assigned products and services, as well as write user stories, acceptance criteria,

feature description decks, process flows, manage traceability and UAT.

Maintain a solid knowledge base of the functional and system capabilities of the various

areas and products within the assigned product portfolio.

Use applicable requirement methodology to analyze, define and document requirements

and manage traceability. Work with stakeholders and product teams to drive consensus on

scope, design and implementation decisions.

Provide analysis and impact to user and business for changes to current functionalities and

apply problem solving skills to meet business needs.

Develop and integrate requirement management to the delivery approach and schedule;

also be responsible for product quality, project timeliness, and customer satisfaction.

Participate in the presentation of information to customer and internal business and or IT

teams.

Create business / product / third party vendor specifications for product integration and

implementation.

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 3^rd 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.

Thanks: