Match Score
Against your primary resumeLogin to See Your Match Score
Create a free account or log in to unlock your CV match score across:
Protocol Intelligence
Data-driven signals on your job's competitivenessLog in to see why each signal reads the way it does.
Job Description
Structured overview of role & requirementsAbout This Role
Lead requirements gathering, process mapping, and data analysis for healthcare payer projects (claims processing, provider networks, member engagement).
Ensure solutions comply with healthcare payer regulations (HIPAA, CMS) and align with value-based care models, delivering measurable client value.
Mentor junior analysts and champion business analysis best practices within the team.
Minimum Requirements
4 to 7 years of experience as a Business Analyst with healthcare payer domain expertise.
Strong skills in requirements elicitation and documentation using tools like JIRA and Azure DevOps.
Proficient in process modeling (BPMN, Visio) and data analysis with advanced SQL and data visualization tools (Tableau, Power BI).
Knowledge of healthcare payer regulations (HIPAA, ACA, CMS) and technical understanding of API concepts and system integration.
Ideal Candidate Profile
Experienced in bridging complex healthcare payer business needs with technology solutions, specifically in claims, enrollment, provider networks, and benefits.
Capable of managing diverse stakeholders and communicating complex regulatory and technical concepts clearly.
Skilled in designing solutions that comply with payer regulations and support digital transformation in healthcare payer operations.