▷ [3 Days Left] 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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Healthcare Business Analyst
2 weeks ago
Pune, Maharashtra, India Wipro Full timeWe use cookies to offer you the best possible website experience Your cookie preferences will be stored in your browser s local storage This includes cookies necessary for the website s operation Additionally you can freely decide and change any time whether you accept cookies or choose to opt out of cookies to improve website s performance as well as...
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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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[3 Days Left] Healthcare Licensing Analyst
1 week ago
Pune, India medtigo Full timeRole Description The Healthcare Licensing Analyst is a full-time, on-site role located in Pune, MH. In this role, the analyst is responsible for obtaining and completing State license applications for healthcare professionals based in the United States. The role will require the ability to conduct in-depth research to ensure compliance with regulatory...
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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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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
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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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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3 Days Left! Trainee
2 weeks ago
Pune, India Citiustech Healthcare Technology Private Limited Full timeJob Description Who we are CitiusTech - Shaping Healthcare Possibilities. CitiusTech is a global IT services, consulting, and business solutions enterprise 100% focused on the healthcare and life sciences industry. We enable 140+ enterprises to build a human-first ecosystem that is efficient, effective, and equitable with deep domain expertise and next-gen...