Healthcare Business Analyst and Regulation Specialist

3 days ago


Vellore, Tamil Nadu, India beBeeCompliance Full time ₹ 1,50,00,000 - ₹ 2,00,00,000
Business Analyst - Healthcare Domain Expert">

Gather, analyze and document business requirements associated with HIPAA, CMS, NCQA and state-specific regulations to ensure system changes, processes and documentation remain compliant. Collaborate with compliance and legal teams during audits or regulatory updates.

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  • Key Responsibilities:
  • 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.
  • Develop and validate member-facing collateral such as Explanation of Benefits (EOBs), Summary of Benefits and Coverage (SBCs), provider directories and plan brochures.
  • Partner with marketing and compliance teams to ensure content accuracy, regulatory alignment and timely delivery.
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