Jobs
Interviews
Upskill
Job Alerts
Tools

Upskill and Grow with AI

Skill Gap and Learning Paths See what your target role asks for and learn it free

Mock Interview Practice interviews in realistic simulations

Coding Practice Improve your coding skills with challenges

Certification Earn certifications to validate your skills

AI Learning Get trained with AI expert sessions

Career Path AI insights for smarter career decisions

AI Job Match Score AI-Powered Job Match Against Your Resume and Optimize Your Resume

Career Tools and Resources

Resume Builder Build Professional Resume with Ease

ATS Friendliness Check Check Resume Friendliness for Applicant Tracking Systems

Auto Apply Apply to hundreds of jobs on job portals effortlessly

Interview Questions Streamline interviews with ready-to-use questions

Companies Explore leading companies actively hiring talent

Home
>
Jobs in Pune
>
Cognizant
>
Business Analyst

Business Analyst

Name: Jobpe
Address: T-Hub, Plot No 1/C, Sy No 83/1, Raidurgam panmaktha, Knowledge City Rd, Hyderabad, Telangana, 500081, IN
Telephone: +91-83339-09630
Price range: Free

Cognizant

Pune

Posted:2 hours ago

Job Description

Job Summary

Contribute as a business analyst with four to five years of experience in the healthcare payer and provider space focusing on benefits open enrollment and HIPAA compliant processes for a hybrid work model in night shifts that supports accurate requirements smooth plan enrollments and compliant data handling for clients and members.

Responsibilities

Collaborate with cross functional healthcare teams to gather business needs for benefits open enrollment and convert them into clear and testable requirement specifications that guide downstream technical work and process design.
Analyze complex payer and provider workflows related to enrollment eligibility billing and claims to identify gaps inefficiencies and compliance risks that could impact operational accuracy and member satisfaction.
Document detailed current state and future state process flows for open enrollment scenarios including eligibility updates plan changes and special enrollment events to support consistent execution across business units.
Develop comprehensive user stories use cases and acceptance criteria that reflect payer and provider rules for benefits enrollment ensuring that every scenario aligns with HIPAA compliant handling of member data.
Coordinate with product owners configuration specialists and quality analysts to prioritize enrollment related requirements and ensure timely delivery that aligns with night shift release schedules and hybrid collaboration norms.
Perform deep dive analysis on enrollment files and transactions to resolve data discrepancies such as missing coverage details incorrect effective dates and plan mapping errors that affect payer and provider partners.
Validate that system configurations benefit plans and enrollment rules support accurate premium calculations coverage periods and member communications across multiple payer and provider lines of business.
Support user acceptance testing for enrollment and eligibility functions by creating test conditions organizing test data and validating outcomes against business rules and HIPAA guidelines.
Prepare clear business requirement documents functional specifications and change impact assessments that communicate enrollment impacts to operations technology compliance and client facing teams.
Engage with stakeholders during night shift meetings to review requirements clarify open questions and align on scope changes while maintaining a professional and inclusive communication style.
Monitor key performance indicators related to enrollment accuracy turnaround time and rejection rates and propose data driven improvements that enhance service quality for members providers and payer partners.
Provide subject matter guidance on payer and provider enrollment dependencies to help teams understand how configuration or process changes affect claims adjudication billing and provider network interactions.
Support incident analysis and root cause investigations for enrollment related production issues by reviewing logs configuration and data to recommend sustainable corrective actions that prevent recurrence.
Coordinate with compliance and security stakeholders to confirm that enrollment processes data transfers and reports adhere to HIPAA privacy and security requirements while minimizing operational friction.
Assist in preparing training content and reference guides for operations staff on updated enrollment procedures plan structures and exception handling to promote consistent night shift execution.
Participate in continuous improvement efforts by proposing automation opportunities for enrollment validations reconciliations and notifications that reduce manual effort and error risk across payer and provider operations.

Qualifications

Possess four to five years of focused experience as a business analyst in healthcare domains with substantial exposure to both payer and provider business processes and interactions.
Demonstrate strong practical expertise in benefits open enrollment including life event processing plan mapping eligibility feeds and reconciliation between payer systems and provider networks.
Apply working knowledge of HIPAA requirements to design and review processes that safeguard member data during eligibility updates enrollment changes and transmission of enrollment files.
Utilize solid skills in requirements elicitation process mapping and documentation tools to produce artifacts that are easy for both technical and operations teams to understand and implement.
Show proficiency in analyzing data using spreadsheets reporting tools or similar applications to validate enrollment outcomes identify trends in error patterns and recommend corrective measures.
Communicate effectively in spoken and written form with stakeholders across product operations technology and compliance teams while working within a hybrid and night shift environment.
Adapt to changing client needs and regulatory updates in the healthcare payer and provider landscape while maintaining high quality standards and timely delivery of analysis outcomes.

Skills Required

Healthcare Process Design Billing Claims User Stories USE Cases User Acceptance Testing Business Rules Service Quality Claims Adjudication Root Cause Continuous Improvement

Learn the skills this job asks for

See your skill gap for Business Analyst →

Free courses, interview questions and practice for each skill.

Job Type

Full Time

More Jobs at Cognizant

Sr. Gen AI / Agentic AI Architect

Indore, Hyderabad, Chennai

13 - 18 yrs

Salary: Not disclosed

Sr. Software Engineer B3

Hyderabad

9 - 12 yrs

Salary: Not disclosed

Data Modeller, Azure, Data Lake (PAN INDIA)

Bengaluru, Delhi, Mumbai

14 - 19 yrs

INR 20 - 35 Lacs

Gen AI Developer

Indore, Hyderabad, Chennai

5 - 8 yrs

Salary: Not disclosed

Sr. Gen AI Engineer

Indore, Hyderabad, Chennai

5 - 10 yrs

Salary: Not disclosed

Mock Interview

Practice Video Interview with JobPe AI

Start Job-Specific Interview

Start Your Job Search Today

Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.

Enhance Your Skills

Practice coding challenges to boost your skills

Start Practicing Now

Cognizant

IT Services and IT Consulting

Teaneck New Jersey

Login to

Please Verify Your Phone or Email

Confirm Action

Search

Profile

Upskill and Grow with AI

Business Analyst