Description

You will gather, analyze, and document detailed business requirements for Medicare, Life, Annuity, and Health insurance products. You will map core processes including claims processing, adjudication, policy administration, and underwriting workflows.

This role is on-site.

Responsibilities

• Translate business needs into clear functional specifications, workflows, and use cases.
• Collaborate with claims teams, underwriters, and compliance officers to ensure solutions meet regulatory standards.
• Support the design, testing, and implementation of new systems while ensuring HIPAA compliance.
• Conduct data analysis to identify trends, risks, and opportunities for cost savings and efficiency.
• Facilitate User Acceptance Testing (UAT), stakeholder training, and rollout activities.

Required Skills

• 5+ years of experience as a Business Analyst in Medicare or healthcare insurance domains.
• Deep understanding of Life, Annuity, and Health insurance products and sub-types.
• Hands-on experience with claims processing, claim adjudication, and policy lifecycle management.
• Proficiency in HIPAA regulations and healthcare compliance standards.
• Strong skills in requirements gathering, process modeling, and creating functional documentation.
• Experience with data analysis and reporting tools to drive operational improvements.
• Familiarity with Agile/Scrum methodologies and insurance management software.

Preferred Skills

• Business Analysis certifications (CBAP, CCBA, or equivalent).
• Experience with Electronic Health Records (EHR) and healthcare IT systems.

Key Skills

Education

Bachelor's or Master's degrees