Sr Business Analyst - Healthcare
Core
Senior Business Analyst supporting large-scale health plan initiatives, including medical appeals, claims processing, and major plan implementations.
Role type
Senior Business Analyst (Healthcare)
Builds
Healthcare plan operations solutions, process changes, and performance reporting tools
Domain
Healthcare / Health Plan / Insurance
Required skills
Business analysis, requirements elicitation, data flow modeling, use-case analysis, workflow analysis, business process mapping, functional decomposition, ROI modeling, stakeholder management, training coordination, vendor relationship management, risk analysis
Preferred skills
Bachelor's or advanced degree, experience in pharmaceutical fields
Technologies
AI Flow Support LESS
Responsibilities
Elicit, analyze, document, and manage business and functional requirements for complex initiatives. Create requirements strategies and management plans aligned with project plans. Communicate and validate requirements with stakeholders and subject matter experts. Maintain solution scope and requirements traceability throughout the project lifecycle. Lead business readiness and communications planning for changes to technology, processes, and people. Coordinate and support training for effective implementation and desired outcomes. Develop procedures and specifications for system or process changes and coordinate implementation across teams. Plan and conduct post-implementation audits and establish customer feedback mechanisms. Analyze workflows, design and test solutions, and assess organizational impacts. Manage requirement change requests and maintain documentation. Develop and maintain performance reporting tools and ensure data integrity. Present findings and insights to business stakeholders and leaders. Identify business risks, recommend mitigation strategies, and escalate issues when needed. Build and support vendor relationships and assist with training. Provide oversight and peer reviews for less experienced analysts.