Business Analysis

1 week ago

Andhra Pradesh, India Virtusa Full time

Collaborate with stakeholders to gather, document, and analyze business requirements for healthcare/insurance projects.
Provide expertise in healthcare regulations, claims processing, policy administration, underwriting, and provider networks.
Work with Product Owners, Developers, and QA teams to ensure business requirements are properly implemented.
Support the PHI proposal submission and ensure all necessary business inputs are aligned before the deadline.
Analyze and document business processes, workflows, and system integrations.
Define and manage data mapping, reporting, and compliance requirements for regulatory adherence.
Perform gap analysis and impact assessments to identify areas for process improvement.
Assist in the development of business cases, functional specifications, and user stories.
Work closely with cross-functional teams across various time zones (IST/SGT).
Facilitate workshops, stakeholder meetings, and requirement discussions.
Ensure compliance with industry standards such as HIPAA, ACA, ICD-10, and FHIR (if applicable).
Required Skills & Qualifications:
Strong domain expertise in Healthcare and/or Insurance (Life, Health, P&C, etc.).
Experience in Business Analysis, Requirement Gathering, and Documentation.
Knowledge of claims processing, policy management, underwriting, and provider networks.
Familiarity with healthcare regulations, compliance (HIPAA, ICD-10, FHIR, ACA, etc.).
Experience with data analysis, reporting, and business intelligence tools.
Proficiency in Agile methodologies, Jira, Confluence, and requirement management tools.
Strong understanding of integration processes with third-party insurance/healthcare platforms.
Excellent communication, stakeholder management, and problem-solving skills.
Nice-to-Have Skills:
Knowledge of PHI (Protected Health Information) and PII (Personally Identifiable Information) security standards.
Experience with healthcare analytics, AI/ML in healthcare, or automation in insurance workflows.
Exposure to EHR/EMR systems, provider credentialing, or revenue cycle management.
Understanding of cloud-based healthcare/insurance solutions (AWS, Azure, GCP).

**About Virtusa**

Teamwork, quality of life, professional and personal development: values that Virtusa is proud to embody. When you join us, you join a team of 27,000 people globally that cares about your growth — one that seeks to provide you with exciting projects, opportunities and work with state of the art technologies throughout your career with us.

Great minds, great potential: it all comes together at Virtusa. We value collaboration and the team environment of our company, and seek to provide great minds with a dynamic place to nurture new ideas and foster excellence.

Virtusa was founded on principles of equal opportunity for all, and so does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.

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