
Healthcare Business Process Expert
6 days ago
As a Senior Business Analyst in the Healthcare Domain, you will play a critical role in ensuring system changes and processes remain compliant with healthcare regulations and payer guidelines.
- Gather and analyze business requirements related to HIPAA, CMS, NCQA, and state-specific regulations.
- Collaborate with compliance and legal 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 (e.g., Facets, QNXT, or other payer platforms).
- Proven experience as a Business Analyst in the healthcare domain.
- Excellent analytical, problem-solving, and communication skills.
- Ability to collaborate with cross-functional teams.
- Familiarity with healthcare regulations (HIPAA, CMS, NCQA, etc.) and payer guidelines.
- Opportunity to work with a dynamic team in a fast-paced industry.
- Professional development and growth opportunities.
- A comprehensive benefits package including medical, dental, and vision coverage.
- Contribute to the development of 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 and timely delivery.
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Walk-In Interview For AR Voice Process US
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