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Job Description
Structured overview of role & requirementsAbout This Role
Lead business analysis and requirements gathering focused on provider data to meet client objectives within healthcare quality initiatives.
Serve as a key liaison between clients and technical teams to define, document, and validate business requirements and ensure solutions meet client needs.
Analyze, plan, and recommend improvements to business and quality processes; oversee test plans and validate outcomes for medium to large projects.
Minimum Requirements
6+ years of experience in Business Analysis or related domains such as Managed care, Provider, Claims adjudication, Medicaid, or Medicare.
2-3 years of specific experience in Managed Care module.
Strong proficiency in SQL with ability to write complex queries.
Work Mode: Remote India; Work Timing: 2 PM to 11 PM IST.
Work Experience Required: 6+ years
Ideal Candidate Profile
Experienced in healthcare domains specifically eligibility, claims, and provider data management with demonstrated functional expertise.
Proficient in gathering and validating detailed business requirements, performing fit/gap analysis, and creating thorough documentation and test plans for medium to large initiatives.
Comfortable working remotely with cross-functional teams and managing communication between business and technical stakeholders.