Healthcare Business Process Expert

6 days ago


Tiruchi, Tamil Nadu, India beBeeBusiness Full time ₹ 10,00,000 - ₹ 15,00,000
Job Description">

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).
Required Skills & Qualifications">
  • 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.
Benefits">
  • 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.
Others">
  • 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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