Business Analyst - US Healthcare

Job Title: Business Analyst

(Candidate must have experience in to US Healthcare Domain Adjudication System)

Job Summary:

Business Analyst

The ideal candidate will work closely with cross-functional teams including operations, technology, and client stakeholders to understand business needs, analyze processes, and contribute to high-impact healthcare solutions.

Key Responsibilities:

• Collaborate with stakeholders to gather, analyze, and document business requirements.
• Translate business needs into functional specifications for technical teams.
• Analyze healthcare claims, eligibility, and enrollment data to identify patterns and opportunities.
• Support project delivery by coordinating with development QA and configuration teams.
• Participate in client meetings, requirement walkthroughs, and status updates.
• Develop and maintain process documentation, user stories, workflow diagrams etc.
• Assist in UAT planning, execution, and issue tracking.
• Continuously monitor industry trends and regulatory changes in US healthcare.

Mandatory Requirements:

• 3+ years of experience as a Business Analyst, with a strong understanding of

  US healthcare processes

  .
• Hands-on experience working with

  claims, eligibility, EDI 837/835/270/271

  or other healthcare-related data sets.
• Experience in

  requirement elicitation

  ,

  documentation

  , and

  business process mapping

  .
• Proven ability to work independently and in a team environment.
• Willingness to work from the Pune office on a full-time basis.

Required Skills:

• Strong analytical and problem-solving skills.
• Proficiency in tools such as

  MS Excel, Visio

  ,

  MS Word

  or similar.
• Excellent written and verbal communication skills.
• Attention to detail with strong organizational skills.
• Understanding of

  Agile/Scrum methodologies

  .

Preferred Qualifications:

• Bachelor's degree in Computer science, IT, Healthcare Management, Information Systems, or a related field.
• Experience with

  HIPAA regulations

  , healthcare compliance, or payer-provider workflows.
• Exposure to

  reporting tools

  is a plus.

Certification in Business Analysis (e.g., CBAP, CCBA) or Healthcare IT (e.g., CPHIMS) is a plus.