Healthcare Domain Business Operations Expert

5 days ago


Gulbarga, Karnataka, India beBeeCompliance Full time ₹ 15,00,000 - ₹ 25,00,000

Our organization is seeking a highly skilled Senior Business Analyst to join our team in the healthcare domain. This individual will be responsible for gathering, analyzing, and documenting business requirements related to HIPAA, CMS, NCQA, and state-specific regulations.

The successful candidate will ensure that system changes, processes, and documentation remain compliant with healthcare regulations and payer guidelines. They will act as a liaison with compliance and legal teams during audits or regulatory updates.

Benefit Codes & Plan Configuration

The analyst will analyze and configure benefit codes for medical, dental, pharmacy, and specialty products. They will also support plan design, benefit mapping, and validation in healthcare systems such as Facets, QNXT, or other payer platforms.

Collateral & Member Materials

The candidate will coordinate development and validation of member-facing collateral including Explanation of Benefits (EOBs), Summary of Benefits and Coverage (SBCs), provider directories, and plan brochures.

They will 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.



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