Lead Healthcare Business Analyst

2 days ago


Agra, Uttar Pradesh, India beBeeCompliance Full time ₹ 15,00,000 - ₹ 18,00,000
Healthcare Business Analyst Role

Gather, analyze and document business requirements related to HIPAA, CMS, NCQA and state-specific regulations. This includes ensuring system changes, processes and documentation remain compliant with healthcare regulations and payer guidelines.

Key Responsibilities:

  • 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: 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.

As a key liaison between compliance and legal teams, you 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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