Senior Healthcare Business Systems Analyst

7 days ago

Thoothukudi, Tamil Nadu, India beBeeRegulatory Full time ₹ 15,00,000 - ₹ 25,00,000
Job Title: Senior Business Analyst with HealthCare

Our team is seeking an experienced Business Systems Analyst to join our healthcare division. This role will be responsible for analyzing and documenting business requirements related to HIPAA, CMS, NCQA, and state-specific regulations.

  • Key Responsibilities:
  • Ensure 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.
  • Benefit Codes & Plan 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.
  • Collateral & Member Materials
  • 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:

  • 5+ years of experience in business analysis, preferably in the healthcare industry.
  • Strong analytical and problem-solving skills, with the ability to communicate complex ideas effectively.
  • Proficiency in MS Office Suite, with strong Excel skills.
  • Ability to work in a fast-paced environment and meet deadlines.
  • BA/BS degree in a related field (e.g., business, health administration).

What We Offer:

  • A competitive salary and benefits package.
  • The opportunity to work with a dynamic team and contribute to the success of our organization.
  • Professional growth and development opportunities.

Apply Today

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