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Healthcare Business Development Professional

2 weeks ago

Rajahmundry, Andhra Pradesh, India beBeeAnalyst Full time ₹ 15,00,000 - ₹ 25,00,000
Job Title: Senior Business Analyst with Healthcare
Key Responsibilities:
  • Collect, analyze and document business requirements associated with HIPAA, CMS, NCQA and state-specific regulations.
  • Ensure system updates, processes and documentation remain compliant with healthcare regulations and payer guidelines.
  • Act as liaison with compliance and legal teams during audits or regulatory updates.
  • Benefit Configuration:
    • 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.
  • Member Collateral:
    • 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:
  • Strong understanding of healthcare regulations and industry standards.
  • Excellent analytical, communication and project management skills.
  • Able to work effectively in a team environment.
Benefits:
  • Competitive salary and benefits package.
  • Opportunities for career growth and professional development.
  • Collaborative and dynamic work environment.