US Healthcare Business Analyst
1 week ago
Minimum 5 years of experience as a Business Analyst (or similar role) in the US healthcare industry, with significant exposure to claims processing and enrollment/eligibility workflows. Strong understanding of health plan operations: claims adjudication lifecycle, denials/appeals, provider networks, eligibility/enrollment, member onboarding, payer/provider contracts. Proven experience working with enrollment/eligibility systems and/or claims management systems (e.g., EDI transactions (837/835/277 etc.), provider portals, clearinghouses) is highly desirable. Strong analytical skills: able to work with data (SQL, Excel, BI tools) to identify trends, root‐causes, produce reports and dashboards. Ability to document business requirements, functional specifications, user stories, process flows, and acceptance criteria with clarity. Experience in UAT/test planning, test case creation, collaborating with QA/Dev teams. Excellent stakeholder management – ability to liaise with operations, IT, product, compliance and leadership teams and translate business needs into technical solutions. Good communication skills (written and verbal), comfortable presenting to senior leadership. Familiarity with regulatory environment (HIPAA, CMS, ACA, HEDIS, etc) and familiarity with audit/compliance process. Preferable: Experience with Agile/Scrum methodologies and associated tools (JIRA, Confluence). Preferable: Experience with data warehousing, BI dashboards, process automation (RPA) or system upgrades/migrations in the healthcare payer space.
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US Healthcare Business Analyst
1 week ago
Pune, India AS Technology Corporation Full timeMinimum 5 years of experience as a Business Analyst (or similar role) in the US healthcare industry, with significant exposure to claims processing and enrollment/eligibility workflows.Strong understanding of health plan operations: claims adjudication lifecycle, denials/appeals, provider networks, eligibility/enrollment, member onboarding, payer/provider...
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US Healthcare Business Analyst
1 week ago
pune, India AS Technology Corporation Full timeMinimum 5 years of experience as a Business Analyst (or similar role) in the US healthcare industry, with significant exposure to claims processing and enrollment/eligibility workflows.Strong understanding of health plan operations: claims adjudication lifecycle, denials/appeals, provider networks, eligibility/enrollment, member onboarding, payer/provider...
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Us Healthcare Business Analyst
6 days ago
Pune, India Whatjobs IN C2 Full timeMinimum 5 years of experience as a Business Analyst (or similar role) in the US healthcare industry, with significant exposure to claims processing and enrollment/eligibility workflows. Strong understanding of health plan operations: claims adjudication lifecycle, denials/appeals, provider networks, eligibility/enrollment, member onboarding, payer/provider...
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Business Analyst
4 weeks ago
Pune, India Simplify Healthcare Full timeBusiness Analyst Looking for an immediate joiner (0 to 15 days) Responsibilities • Assist the Product Solution Lead/ Manager in driving the implementation • Understand and analyse client requirement, and translate the requirements into a • functional solution and configure the solution in the product • Work closely with SME/Product Owner and Client...
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US Healthcare Insurance
1 week ago
Mumbai, Pune, India Black And White Business Solutions Full time ₹ 5,00,000 - ₹ 10,00,000 per yearAbout ClientHiring for One of the Top most Prestigious Multinational CorporationsJob Title : Senior Process Analyst / US Healthcare InsuranceQualification : Any Graduate and AboveRelevant Experience : 3 7 YearsMust Have Skills :1.Medical Billing.2.Excellent Verbal and Written Communication Skills (Internal & External stakeholders).3.Active Listening and...
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Senior Healthcare
2 weeks ago
Bengaluru, Mumbai, Pune, India Citiustech Healthcare Technology Private Limited Full timeJob Description As a Senior Healthcare - Business Analyst, you will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards. Responsibilities: - - Provide analytical and consulting services in designing, delivering, and executing projects related to Business Intelligence...
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Pune, India AS Technology Corporation Full time- Minimum 5 years of experience as a Business Analyst (or similar role) in the US healthcare industry, with significant exposure to claims processing and enrollment/eligibility workflows. - Strong understanding of health plan operations: claims adjudication lifecycle, denials/appeals, provider networks, eligibility/enrollment, member onboarding,...
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Pune, India SPRY PT Full timeJob Description Company Description SPRY Therapeutics, Inc. is the inventor of SPRY EMR, an integrated practice management solution designed for rehab therapy professionals. The SPRY platform supports physical therapists, occupational therapists, and speech language pathologists with flexible workflow customizations, short migration times, and rapid claims...
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US Healthcare
7 days ago
Pune, Maharashtra, India Glorious Hr Services Full time ₹ 5,50,000 per yearHiring Now: US Healthcare Process (Provider Side) | PuneExciting Opportunity for Experienced US Healthcare ProfessionalsJoin a leading organization and grow your career in the US Healthcare Provider Side domain.Designation: AR Caller / Payment Posting AssociateExperience: Minimum 1 Year (US Healthcare Provider Side is mandatory)Location: Pune (Work from...
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Business Analyst
4 weeks ago
Pune, India Digital Convergence Technologies Inc. Full timeBusiness Analyst, Data SolutionsAbacus Insights is a mission-driven, growth-stage technology company focused on transforming the healthcare industry, ultimately creating a more personalized patient experience, improving health outcomes, and lowering the overall cost of healthcare. Abacus Insights provides a flexible, efficient, and secure platform that...