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Job Description

About Client:

Our Client is a global IT services company headquartered in Southborough, Massachusetts, USA. Founded in 1996, with a revenue of $1.8B, with 35,000+ associates worldwide, specializes in digital engineering, and IT services company helping clients modernize their technology infrastructure, adopt cloud and AI solutions, and accelerate innovation. It partners with major firms in banking, healthcare, telecom, and media.

Our Client is known for combining deep industry expertise with agile development practices, enabling scalable and cost-effective digital transformation. The company operates in over 50 locations across more than 25 countries, has delivery centers in Asia, Europe, and North America and is backed by Baring Private Equity Asia.

Job Title: Business Analyst


Location


Experience


Job Typ


Notice Period


Mandatory Skills:


  • Strong documentation skills: BRDs, FRDs, Use Cases, Traceability Matrices.
  • Experience in workflow modeling, process reengineering, and change management.




About the Role:

We are looking for a seasoned Specialist Business Analyst with 7–11 years of experience in business analysis and deep domain expertise in US healthcare systems, including Claims processing, Provider lifecycle management, and Care Management workflows. This role demands strategic thinking, stakeholder leadership, and the ability to drive complex healthcare technology initiatives from ideation to execution.


Key Responsibilities:

Strategic Analysis & Solutioning:

  • Lead end-to-end business analysis for large-scale healthcare IT projects.
  • Partner with business leaders to identify opportunities for digital transformation and operational efficiency.
  • Define and document high-level business requirements, functional specifications, and solution architecture inputs.
  • Conduct feasibility studies, gap analysis, and impact assessments for new initiatives.

Domain Expertise – US Healthcare:

  • Deep understanding of Claims lifecycle: submission, adjudication, payment, and denial management.
  • Expertise in Provider workflows: credentialing, contracting, network management, and data governance.
  • Strong knowledge of Care Management: utilization review, case management, disease management, and appeals.
  • Familiarity with Medicare/Medicaid regulations, HIPAA compliance, and value-based care models.

Technical Collaboration:

  • Collaborate with product owners, architects, and developers to translate business needs into scalable solutions.
  • Drive API integration strategies, data mapping, and ETL workflows for healthcare data.
  • Ensure adherence to healthcare interoperability standards like HL7, FHIR, X12, and 508 Accessibility.
  • Contribute to UI/UX design discussions and ensure alignment with workflow requirements.

Project & Process Leadership:

  • Lead Agile ceremonies (Scrum, PI Planning, retrospectives) and manage deliverables across Agile and Waterfall projects.
  • Create and maintain epics, user stories, and acceptance criteria in tools like JIRA and Confluence.
  • Develop and maintain process maps, data flow diagrams, and decision matrices.
  • Mentor junior BAs and contribute to BA practice development and knowledge sharing.


Required Skills & Experience:

Core Business Analysis:

  • Advanced proficiency in requirements elicitation, stakeholder management, and business case development.
  • Strong documentation skills: BRDs, FRDs, Use Cases, Traceability Matrices.
  • Experience in workflow modeling, process reengineering, and change management.

Healthcare Technology:

  • Hands-on experience with healthcare SaaS platforms, multi-tenant systems, and clinical data models.
  • Strong understanding of claims adjudication engines, provider data platforms, and care coordination tools.
  • Experience with data extracts, reporting tools, and analytics dashboards.


Soft Skills & Leadership:

  • Excellent communication and presentation skills for executive-level stakeholders.
  • Strong analytical and problem-solving mindset with a strategic orientation.
  • Proven ability to lead cross-functional teams and drive consensus.
  • High accountability, ownership, and commitment to quality outcomes.
  • Continuous learner with a passion for healthcare innovation and emerging technologies.


Preferred Qualifications:

  • Bachelor’s or Master’s degree in Business, Healthcare Administration, or related field.
  • Certifications such as CBAP, CSPO, SAFe Agilist, or Lean Six Sigma are highly desirable.

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