Senior Business Analyst for Healthcare Operations

19 hours ago


Bikaner, Rajasthan, India beBeeHealthcare Full time ₹ 12,00,000 - ₹ 15,00,000

Job Summary:

About This Role
  • This position is responsible for ensuring that our healthcare systems, processes and documentation remain compliant with healthcare regulations and payer guidelines.

Key Responsibilities:

  • Gather, analyze and document business requirements related to HIPAA, CMS, NCQA and state-specific regulations.
  • E nsure 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.
  • Benefits Administration
    • 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).
    • Collaborate with product and IT teams to ensure accurate coding, claims adjudication and eligibility processing.

Collateral Development

  • 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.
  • Partner with marketing and compliance teams to ensure content accuracy, regulatory alignment and timely delivery.
  • Track versioning and approvals of collateral to maintain consistency across all distribution channels.

Requirements:

  • Prior experience in a similar role within the healthcare industry.
  • Strong analytical skills and ability to interpret complex data.
  • Excellent communication and interpersonal skills.


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