This role is for one of Weekday’s clients Salary range: Rs 1500000 - Rs 3000000 (ie INR 15 - 30 LPA) Min Experience: 8+ years Location: Hyderabad, Chennai, Tamil Nadu, India JobType: full-time We are looking for an experienced Business Analyst with 8–14 years of experience and strong expertise in the US Healthcare domain , particularly payer operations and healthcare claims . The ideal candidate will act as a bridge between business stakeholders, healthcare operations, technology teams, and product teams to translate complex business requirements into clear, actionable solutions. The candidate should have a strong understanding of the US healthcare ecosystem, payer processes, claims lifecycle, and healthcare business workflows. Experience working on large-scale healthcare projects and collaborating with cross-functional teams is highly desirable. Key Responsibilities - Gather, analyze, document, and validate business requirements from healthcare stakeholders, business users, and subject matter experts. - Work extensively on US Healthcare payer processes, including claims intake, adjudication, pricing, payment, denials, adjustments, and appeals. - Develop a deep understanding of healthcare claims workflows, payer operations, member benefits, eligibility, providers, and reimbursement processes. - Collaborate with product managers, project managers, developers, QA teams, and business stakeholders to translate business needs into functional requirements. - Analyze existing business processes and identify opportunities for process improvements, automation, and operational efficiency. - Conduct requirement-gathering sessions, stakeholder interviews, workshops, and process walkthroughs. - Create detailed business and functional requirement documentation, process flows, use cases, user stories, and acceptance criteria. - Support development and testing teams by clarifying requirements and resolving functional queries throughout the project lifecycle. - Review and validate proposed solutions to ensure alignment with business requirements and healthcare industry standards. - Participate in UAT planning, test-case reviews, defect analysis, and business validation. - Identify gaps between current-state and future-state processes and recommend practical solutions. - Manage communication across business and technical teams to ensure clear understanding of requirements and project objectives. - Support project teams during implementation, production deployment, and post-production stabilization. - Ensure requirements and deliverables are aligned with applicable US Healthcare payer and claims processes. Must-Have Skills - 8–14 years of experience as a Business Analyst, preferably within the US Healthcare industry. - Strong hands-on experience in US Healthcare . - Strong understanding of Healthcare Payer processes and operations. - Extensive knowledge of Healthcare Claims , including claims processing, adjudication, denials, adjustments, and payment workflows. - Experience gathering and analyzing complex business requirements. - Strong stakeholder communication and management skills. - Ability to work effectively with business, product, technology, QA, and operations teams. - Strong analytical, problem-solving, and documentation skills. - Experience working in Agile and/or Waterfall project environments. Good-to-Have Skills - Experience creating BRD (Business Requirements Documents) and functional requirement specifications. - Knowledge of healthcare eligibility, benefits, provider, and member management processes. - Experience with process mapping, workflow documentation, and gap analysis. - Exposure to healthcare claims platforms, payer systems, or related enterprise applications. - Familiarity with SQL or data analysis tools is an advantage.

Business Analyst

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