Our client is a US-based company specializing in advanced solutions for health plans. Their platform helps both new and established Medicare and Medicaid programs scale efficiently by improving staff productivity, streamlining processes, and reducing operational costs.
The company offers flexible solutions through SaaS (Software as a Service) and BPaaS (Business Process as a Service), enabling health plans to optimize operations, enhance member experiences, and maintain compliance with industry regulations.
We are looking for a Business Analyst to support Subject Matter Experts (SMEs), allowing them to focus on new client initiatives and strategic projects. In this role, you will analyze business processes, gather and document requirements, and collaborate with business and technical teams to ensure effective implementation of solutions.
Responsibilities
- Gather, analyze, and document business requirements and functional specifications.
- Analyze business processes and workflows to identify gaps and opportunities for improvement.
- Collaborate with SMEs, business stakeholders, developers, and QA engineers to ensure a clear understanding of requirements.
- Develop workflow documentation and functional specifications.
- Create test scenarios and support User Acceptance Testing (UAT).
- Validate implemented solutions against business requirements.
- Support business process analysis related to claims, enrollment, provider management, authorizations, and configuration.
Requirements
- Experience working as a Business Analyst.
- Experience in the healthcare payer or health insurance industry.
- Knowledge of Medicare and/or Medicaid processes.
- Experience with requirements gathering, documentation, workflow analysis, and gap analysis.
- Ability to translate business needs into clear functional requirements.
- Experience developing test scenarios and supporting UAT.
- Strong analytical, communication, and problem-solving skills.
- Willingness to work according to US business hours.
Would Be a Plus
- Experience writing SQL queries and performing data analysis.
- Expertise in claims, enrollment, provider management, authorizations, or configuration.
- Experience supporting software implementations and process improvements.