Description

You will own the business analysis lifecycle for healthcare payer and TPA initiatives.

This role is remote.

Responsibilities

• Prepare High Level requirements, Use Cases, and Business Requirement Documents.
• Develop Functional specifications, Test strategy and cases, and Traceability matrices.
• Map business processes and workflows, conducting gap analysis and documenting requirements.
• Drive system integrations with third-party vendors through requirements definition and testing.

Required Skills

• Minimum 5 years experience as a business analyst in healthcare payer/TPA sectors.
• Experience onboarding self-funded clients or implementing products in Multi-employer Trusts.
• Expertise in data governance and documenting complex business requirements.
• Proven track record in programs requiring system integrations with third-party vendors.
• Knowledge of healthcare Insurance Payer areas such as Enrolment & Eligibility, Claims Administration, or Vendor Integrations.
• Strong understanding of healthcare systems, policies, and regulatory requirements.
• Proficiency with MS Office (Word, Excel, PowerPoint) and Jira.
• Ability to translate business issues into technical solutions by leading business and technology teams.

Preferred Skills

• Strong analytical and problem-solving skills to resolve issues methodically.

Key Skills

Education

Bachelor's degree