Business Healthcare Analyst Specialist

5 days ago


Thāne, Maharashtra, India beBeeCompliance Full time ₹ 10,00,000 - ₹ 15,00,000
Healthcare Business Analyst
  • Gathering business requirements involves working with HIPAA, CMS, NCQA, and state-specific regulations to ensure compliance.
  • System changes, processes, and documentation must remain up-to-date with healthcare regulations and payer guidelines.
  • Collaboration with compliance and legal teams is necessary during audits or regulatory updates.
  • Benefit Code Configuration
  • Analyze and configure benefit codes for medical, dental, pharmacy, and specialty products.
  • Support plan design, benefit mapping, and validation in healthcare systems (e.g., Facets, QNXT).
  • Collaborate with product and IT teams to ensure accurate coding, claims adjudication, and eligibility processing.
  • Member Materials Development
  • Coordinate development and validation of member-facing collateral such as EOBs, SBCs, provider directories, and plan brochures.
  • Partner with marketing and compliance teams to ensure content accuracy, regulatory alignment, and timely delivery.
  • Track versioning and approvals of collateral to maintain consistency across all distribution channels.

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