Healthcare Business Analyst – Health Plan
PEOPLE FORCE CONSULTING INC · United States · Today
RemoteRemoteResearchContract
Location: Remote / EST work hours
Tentative duration: 6 months+
About the role
We are seeking an experienced Healthcare Business Analyst with strong Health Plan/Payer experience to support business and technology initiatives within the healthcare insurance domain.
Responsibilities
- Gather, analyze, and document business and functional requirements.
- Create BRDs, user stories, process flows, and functional specifications.
- Partner with business stakeholders, product owners, development, and QA teams to deliver solutions throughout the SDLC using Agile methodologies.
- Support UAT, defect resolution, production support, and process improvement initiatives.
Requirements
- 5+ years of Business Analyst experience, including 3+ years supporting Health Plans/Payers.
- Strong experience with Claims, Enrollment, Eligibility, Benefits, Provider Management, Prior Authorization, and Care Management.
- Working knowledge of HIPAA, CMS, Medicare, Medicaid, ACA, and healthcare industry standards.