Healthcare Business System Analyst

2 weeks ago


Hyderabad, India Wipro Full time

Key Responsibilities

  • Gather, document, and analyze business requirements specific to healthcare payor processes (claims, eligibility, benefits, enrollment, billing, provider network management, etc.).
  • Translate business needs into detailed functional and technical requirements.
  • Collaborate with stakeholders, product managers, and IT teams to design and enhance payor-related systems.
  • Perform gap analysis, workflow mapping, and process improvements to optimize payor operations.
  • Support system configuration, integration, testing (SIT/UAT), and deployment activities.
  • Ensure compliance with industry standards and regulations (HIPAA, ICD, CPT, HL7, FHIR, X12 EDI transactions).
  • Act as a liaison between business users and technical teams to ensure solutions meet requirements.
  • Provide ongoing support, issue resolution, and system enhancements for payor systems.
  • Prepare reports, dashboards, and documentation to support decision-making.

Mandatory Skills

  • Strong domain knowledge in Healthcare Payor (Claims Adjudication, Enrollment, Billing, Eligibility, Provider, Benefits, Utilization Management).
  • Hands-on experience with healthcare standards and compliance (HIPAA, X12 EDI transactions 270/271, 276/277, 837/835, etc.).
  • Proficiency in requirement gathering, documentation, and system analysis.
  • Strong knowledge of SDLC, Agile/Scrum methodologies.
  • Excellent analytical, problem-solving, and communication skills.


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