Business Analyst
Perumandla SaikrishnaUnited StatesMIDPosted 6d ago
HealthRules PayorHealthEdgeHealthcare PayerClaims ProcessingEnrollmentEligibilityBenefits AdministrationProvider ManagementRequirements GatheringBRDFRDUser StoriesAcceptance CriteriaHealthcare EDISQLData AnalysisAgile/ScrumJIRAUATDefect ManagementCommunicationStakeholder Management
About the Role
We are seeking a Business Analyst with expertise in the US Healthcare Payer domain, specifically with HealthRules Payor (HRP / HealthEdge). This role involves analyzing healthcare processes and requirements.
Key Responsibilities
• Gather, analyze, and document requirements for healthcare payer systems
• Prepare BRDs, FRDs, user stories, and acceptance criteria
• Analyze healthcare EDI transactions and data
• Support UAT and defect management processes
• Communicate effectively with stakeholders
Requirements
• Strong experience as a Business Analyst in the US Healthcare Payer domain
• Hands-on experience with HealthRules Payor (HRP / HealthEdge)
• Knowledge of healthcare payer processes including Claims, Enrollment, Eligibility, Benefits, and Provider Management
• Experience in requirements gathering, analysis, and documentation
• Ability to prepare BRDs, FRDs, user stories, and acceptance criteria
• Knowledge of healthcare EDI transactions: 837, 834, 835, 270/271, and 276/277
• Experience with SQL and data analysis
• Familiarity with Agile/Scrum, JIRA, UAT, and defect management
• Strong communication and stakeholder management skills