Chief Healthcare Operations Strategist

2 days ago


Amrāvati, Maharashtra, India beBeeRegulation Full time ₹ 15,00,000 - ₹ 20,00,000
Senior Business Analyst with HealthCare

Gather, analyze, and document business requirements related to healthcare regulations.

Required Skills and Qualifications:
  • Proven experience in Healthcare Domain
  • Ability to ensure system changes, processes, and documentation remain compliant with healthcare regulations
  • Effective communication skills for collaboration with compliance and legal teams during audits or regulatory updates
Key Responsibilities:
  1. Benefit Codes & Plan Configuration
  2. Analyze and configure benefit codes for medical, dental, pharmacy, and specialty products
  3. Support plan design, benefit mapping, and validation in healthcare systems
Benefits:
  • 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), Summary of Benefits and Coverage (SBCs)
Additional Tasks:
  • Partner with marketing and compliance teams to ensure content accuracy and timely delivery
  • Track versioning and approvals of collateral to maintain consistency across all distribution channels


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