Business Analyst

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.

Requirements

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.