Strategic Healthcare Business Analyst

6 days ago


Bikaner, Rajasthan, India beBeeHealthcare Full time ₹ 12,00,000 - ₹ 16,00,000
Healthcare Business Analyst Role

The ideal candidate will have a strong background in healthcare domain and excellent analytical skills. Key responsibilities include gathering, analyzing, and documenting business requirements related to HIPAA, CMS, NCQA, and state-specific regulations.

Key Responsibilities:
  • Gather, analyze, and document business requirements for regulatory compliance.
  • Ensure system changes, processes, and documentation remain compliant with healthcare regulations.
  • Collaborate with compliance teams during audits or regulatory updates.
  • Analyze and configure benefit codes for medical, dental, pharmacy, and specialty products.
  • Support plan design, benefit mapping, and validation in healthcare systems.
  • Collaborate with product and IT teams to ensure accurate coding, claims adjudication, and eligibility processing.
  • Coordinate development and validation of member-facing collateral such as Explanation of Benefits (EOBs) and Summary of Benefits and Coverage (SBCs).
  • 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.
Benefits:

This role offers opportunities for professional growth, collaboration, and delivering high-quality results in a dynamic environment.



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