Senior Business Analyst/Business Analyst

4 weeks ago

Mumbai, India Antrors Full time

Role : Senior Business Analyst / Business Analyst / Implementation Specialist - Healthcare Provider ManagementLocation : Mumbai / PuneAbout the Role :We are looking for an experienced and domain-savvy Senior Business Analyst / Business Analyst / Implementation Specialist to join our team focused on Provider Network Management transformation. This role is ideal for professionals with a deep understanding of Healthcare Provider Lifecycle Operations and hands-on experience in implementing provider management platforms, particularly within the insurance or TPA domain across the APAC market.The Individual will work closely with cross-functional stakeholders-product, tech, operations, and client teams-to ensure successful implementation and adoption of our next-generation provider management solution.Key Responsibilities :- Lead requirement gathering, gap analysis, and functional design for provider management system implementations.- Act as the domain expert on provider onboarding, contracting, credentialing, tariff management, performance monitoring, and compliance workflows.- Collaborate with insurer or TPA clients to understand current-state processes and design future-state solutions.- Translate business needs into functional requirements, user stories, and workflows in coordination with product and tech teams.- Support UAT planning, configuration guidance, and rollout coordination for successful go-lives.- Conduct working sessions, discovery workshops, and walkthroughs with APAC-region clients.- Identify process improvement opportunities and actively contribute to platform enhancements.Educational Qualification/Work Experience & Skills :- PG / MBA / BE / B.Tech or Equivalent with 5 to 10 years of experience in insurance, TPA, or IT consulting with direct involvement in Healthcare Provider Management System Implementations.- Strong understanding of provider lifecycle workflows including onboarding, credentialing, contract & tariff management, and regulatory reporting.- Proven experience working with health or life insurance providers in APAC markets, especially with local operational and compliance nuances.- Comfortable engaging with cross-functional teams and clients at all levels-business, tech, and operations.- Ability to document business requirements clearly and drive solution alignment through workshops and demos.- Experience working with or implementing Healthcare Provider Systems.- Exposure to claims, pre-authorization, or provider fraud monitoring is a plus.- Strong facilitation, communication, and presentation skills. (ref:hirist.tech)

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