Senior Health Systems Analyst

7 days ago


Dombivli, Maharashtra, India beBeeBusiness Full time ₹ 9,00,000 - ₹ 12,00,000
Job Title: Senior Business Analyst in Healthcare

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

  • Main Responsibilities:
  1. Analyze and configure benefit codes for medical, dental, pharmacy and specialty products. Ensure accurate coding, claims adjudication and eligibility processing.

  2. Collaborate with compliance and legal teams during audits or regulatory updates.

  3. Coordinate development and validation of member-facing collateral such as Explanation of Benefits (EOBs), Summary of Benefits and Coverage (SBCs) and provider directories.

  4. Partner with marketing and compliance teams to ensure content accuracy, regulatory alignment and timely delivery.

Required Skills and Qualifications:

  • Gather, analyze and document business requirements related to healthcare regulations.
  • Collaborate with product and IT teams to ensure system changes, processes and documentation remain compliant with healthcare regulations.

Benefits:

  • Opportunity to work with a dynamic team to deliver innovative solutions in the healthcare industry.
  • Chance to develop skills in benefit code analysis, claims adjudication and eligibility processing.

Others:

  • Bonus options may be available after meeting performance targets.


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