Healthcare Business Analyst Specialist

2 days ago


Belgaum, Karnataka, India beBeeRegulatory Full time ₹ 1,50,00,000 - ₹ 2,00,00,000
Healthcare Business Analyst Role

We are seeking a highly skilled and detail-oriented Healthcare Business Analyst to join our team. The ideal candidate will have a deep understanding of healthcare regulations, including HIPAA, CMS, NCQA, and state-specific guidelines.

Main Responsibilities:
  • Gather, analyze, and document business requirements related to healthcare regulations and payer guidelines.
  • Ensure system changes, processes, and documentation remain compliant with healthcare regulations and payer guidelines.
  • Act as liaison with compliance and legal teams during audits or regulatory updates.
Key Skills and Qualifications:
  • Benefit Codes & Plan Configuration: Analyze and configure benefit codes for medical, dental, pharmacy, and specialty products.
  • Collateral & Member Materials: Coordinate development and validation of member-facing collateral such as Explanation of Benefits (EOBs), Summary of Benefits and Coverage (SBCs), provider directories, and plan brochures.
  • Project Management: Track versioning and approvals of collateral to maintain consistency across all distribution channels.
Benefits:
  • A dynamic work environment that fosters collaboration and innovation.
  • The opportunity to work with a talented team of professionals who share your passion for delivering high-quality solutions.


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