Sr. Health Care Business Analyst

Job Title: Sr. Health Care Business Analyst

Location: Remote (preference for those in & around NY/NJ)

Job Type: Contract

Job Description:

• Seeking a skilled Sr. Business Analyst with a strong background in healthcare insurance and contribution accounting. This role involves hands-on consulting to assess, strategize, and implement standardized practices that align with the client s business goals and regulatory requirements. We are seeking a passionate, results-oriented candidate who excels in client interactions, and can collaborate effectively stakeholders to analyze, define and manage requirements for client or product. This person must possess a blend of business and technical savvy; strong communication skills to collaborate across internal and external stakeholders.
• Experience working in onshore-offshore delivery model, managing a small team of offshore resources is a must.

Key Responsibilities:

• Requirements Gathering & Analysis: Collaborate with stakeholders, including business units, technical teams, and clients, to gather and document detailed business requirements for health insurance systems, applications, and processes.
• Business Process Modeling: Analyze current business processes and propose process improvements to optimize efficiency, reduce costs, and enhance service delivery within the health insurance domain.
• Solution Design & Implementation: Work closely with technical teams to translate business requirements into functional specifications, user stories, and system designs, ensuring alignment with industry standards and regulatory compliance.
• Testing & Quality Assurance: Support the testing process by ensuring business requirements are correctly implemented, validating system functionality, and conducting user acceptance testing (UAT).
• Training & Support: Provide training to team, prepare workflows, and process changes.
• Support the client through post-implementation phases.
• Stakeholder Engagement: Serve as the primary point of contact between the client and development teams to ensure all requirements are fully understood and addressed in system designs and solutions.
• Continuous Improvement: Identify opportunities for process and system improvements within the organization and recommend actionable solutions for better health insurance service delivery.
• Onshore-Offshore Model Collaboration: Work effectively with both onshore and offshore teams to manage project delivery, ensuring seamless communication, coordination, and alignment across time zones to meet project milestones and deadlines.

Required Skills and Qualifications:

• Experience: 12-15 years of experience as a Business Analyst in the health insurance systems and billing/payment systems.
• Technical Skills: Proficiency in business analysis tools (e.g., SQL/similar programming language, Microsoft Office Suite, Data Import/Export tools).
• Knowledge: Deep understanding of the health insurance landscape, including Contribution Accounting, Billing and Payments, Claims Processing, and System Integrations.
• Analytical Skills: Strong problem-solving abilities with a keen eye for detail and a data-driven approach to analysis.
• Communication: Excellent written and verbal communication skills with the ability to present complex concepts to both technical and non-technical stakeholders.
• Collaboration: Proven ability to work cross-functionally with diverse teams, including IT, business operations, external partners, and offshore teams.

Preferred Qualifications:

• Healthcare Certifications: Any relevant certifications in health insurance, healthcare analytics, or related areas would be an advantage.
• Contribution Accounting Experience: Familiarity with Contribution Accounting, billing and payment systems is a plus.

Education:

• Bachelors or Master s degree in Business, Information Systems, Healthcare Management, or related field.