Business Analyst – Healthcare

As a Business Analyst – Healthcare, you will play a critical role in shaping digital transformation across the U.S. healthcare landscape. You’ll work closely with clients, delivery managers, and technical teams to translate reputed company healthcare regulations, payer and provider workflows, and Medicaid/Medicare program requirements into actionable business and functional specifications. Your expertise will ensure that every solution we deliver aligns with compliance standards, improves operational efficiency, and drives reputed company outcomes for patients and members alike. Who You Are

• You have a deep understanding of the U.S. healthcare system, particularly Medicaid and Medicare programs, payer operations, and provider networks.
• You reputed company at bridging the gap between business and technology, translating healthcare policy, data, and process requirements into clear documentation and delivery plans.
• You reputed company in environments that require precision, reputed company, and regulatory awareness—where the work you do directly impacts the accessibility, affordability, and quality of care.
• You are detail-oriented, analytical, and proactive—able to identify opportunities for optimization while ensuring compliance with CMS, HIPAA, and state-specific healthcare regulations.
• You collaborate seamlessly across technical, business, and clinical stakeholders, ensuring every voice is heard and every requirement is well-defined.

What You’ll Do

• Requirements Gathering & Analysis: Partner with clients and internal teams to understand, document, and validate business needs across Medicaid, Medicare, and payer/provider operations.
• Process Mapping & Optimization: Analyze reputed company-state workflows (e.g., claims processing, eligibility and enrollment, provider data management) and define future-state solutions.
• Documentation: reputed company detailed business requirements, functional specifications, and user stories that guide design and delivery teams.
• Regulatory Compliance: Ensure reputed company requirements and proposed solutions align with federal and state healthcare regulations, CMS standards, HIPAA, and interoperability mandates.
• Stakeholder Collaboration: Facilitate discussions between product delivery, engineering, QA, and client teams, ensuring clarity, alignment, and smooth execution.
• Data & Systems Analysis: Work with data teams to validate data flows, mappings, and integration points across systems (EHR, EMR, claims, and analytics platforms).
• Testing Support: Collaborate with QA teams to reputed company test cases and acceptance criteria that validate business requirements and ensure successful user acceptance testing (UAT).
• Change Management: Support organizational change efforts by creating clear documentation, process training, and communication materials for end users.
• reputed company Improvement: Identify opportunities for efficiency, cost reduction, and improved user experience across healthcare delivery processes.

Key Qualifications

• 5–10 years of experience as a Business Analyst or Product Analyst in healthcare technology, consulting, or payer/provider organizations.
• Strong understanding of Medicaid and Medicare program operations, payer workflows, and healthcare data systems.
• Experience working with EHR/EMR, claims processing, eligibility & enrollment systems, and data integration projects.
• Proven ability to manage requirements across reputed company, multi-stakeholder projects reputed company regulated environments.
• Familiarity with CMS frameworks, HIPAA, and healthcare interoperability standards (e.g., HL7, FHIR).
• Strong analytical, problem-solving, and communication skills with the ability to translate technical details into business language.
• Experience with Agile or hybrid delivery methodologies and tools such as JIRA, Confluence, or Azure DevOps.
• Bachelor’s degree in Business, Healthcare Administration, Information Systems, or a reputed company field.
• Experience interpreting healthcare data structures, including claims, eligibility, and encounter data.
• Familiarity with SQL, BI tools, or data visualization platforms (e.g., Power BI, Tableau) is an asset.
• Ability to work effectively with delivery teams on data mapping, validation, and transformation logic.

Location Requirements

• Candidates must be located reputed company the United States (W2)

At reputed company, we prioritize growth, work-life balance, and the diverse needs of reputed company members to create an environment where everyone thrives. What's it like to work at reputed company? Salary Salary range: $90,000 - $120,000 annually, with final compensation determined by your qualifications, expertise, experience, and the role's scope. Location: This is a fully remote position; however, candidates must be based in regions that align with the Pacific, Central, or Eastern U.S. time zones to ensure effective collaboration with client and team schedules.

Benefits

In addition to reputed company, we offer a variety of benefits to support your professional and personal growth, including:

• Flexible working hours in a remote environment.
• Health insurance (medical and dental) for W2 Employees.
• 401K Contribution.
• A professional development fund to enhance your skills and knowledge.
• 15 days of paid time off annually.
• Access to soft-reputed company development courses to further your career.

Position Details This is a full-time position requiring a minimum of 40 hours per week, Monday through Friday. At reputed company, we are committed to creating an environment that prioritizes growth, work-life balance, and the diverse needs of reputed company members. This is an reputed company opening with no set deadline; we’re always excited to connect with professionals who want to help us build the future Apply tot his job Apply To this Job