Senior Business Analyst

4 weeks ago


Bengaluru, Karnataka, India Pivotrics Full time
Senior Business Analyst – Revenue Operations & US Healthcare Software Solutions

Job Summary:

We are seeking an experienced and highly analytical Senior Business Analyst to join our Revenue Operations (ROPS) and Healthcare Technology team. This unique hybrid role requires a strong understanding of the US healthcare domain, payer-provider workflows, and the revenue cycle, along with the technical and communication skills to interface directly with end users, stakeholders, and cross-functional product teams. You will play a key role in leading strategic analysis, driving operational improvements, and guiding software development initiatives aligned with business and regulatory needs.

Key Responsibilities:

Domain Expertise:

- Serve as an SME in US healthcare operations and software, including:
- Payer-provider workflows (e.g., claims processing, billing, eligibility, enrollment, provider networks)
- Revenue cycle management and dialysis placement coordination
- Regulatory standards (HIPAA, CMS guidelines, Medicare/Medicaid, ACA)
- Healthcare data standards (EDI 837/835/270/271, FHIR, HL7)

Analysis & Technical Skills:

- Perform complex data analysis, analytical modeling, and gap analysis across healthcare business functions and products.
- Use tools such as SQL, Excel, Tableau, VBA, Python, Access to generate insights, automate reporting, and support decision-making.
- Develop automated reporting for key business drivers
- Assess business impact of initiatives and recommend strategic improvements.

Requirement Gathering & Product Strategy:

- Collaborate with senior stakeholders in medical institutions to gather, document, and validate business requirements.
- Define and refine product requirements that enhance operational efficiency, regulatory compliance, and user experience.
- Identify opportunities for transformative change in revenue operations and healthcare software systems.

Qualifications:

- Bachelor's degree in Business, Healthcare, or related field; Master's preferred.
- 8–15 years of experience in US healthcare as a Business Analyst, Software Developer, or QA Engineer.
- Proven experience working with senior stakeholders and end users in medical settings.
- Strong expertise in claims processing, revenue cycle, and healthcare regulatory frameworks.
- Proficiency with data analysis tools (SQL, Excel, Tableau, Python, VBA) and Agile tools (JIRA, Confluence).
- Strong communication skills and the ability to translate complex ideas for both technical and non-technical audiences.
- Experience in product development, process improvement, and cross-functional project leadership.

Why Join Us?

- Make a direct impact on improving healthcare outcomes and revenue operations.
- Be part of a collaborative and innovative team with a mission to reach world-class performance.
- Work in a growth-oriented environment with opportunities for leadership and career advancement.
- Enjoy competitive compensation and performance-based incentives.
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