Business Analyst
Chavi MishraUnited StatesSENIORPosted 10h ago
Requirements gatheringBRD/FRDUser storiesAcceptance criteriaUS healthcareProvidersPayersRCMClaimsBillingHIPAAHITECHCMS guidelinesHealthcare complianceHL7FHIREDI X12EHR/EMR systemsAgile/ScrumJIRAConfluenceUATStakeholder managementSQLGap analysisProcess modelingRoot-cause analysis
About the Role
We are seeking a Business Analyst with extensive experience in the US healthcare domain. This role requires a deep understanding of healthcare processes, regulations, and systems to support business requirements and process improvements.
Key Responsibilities
• Gather requirements and create BRD/FRD, user stories, and acceptance criteria
• Apply strong knowledge of US healthcare domains including Providers, Payers, RCM, Claims, and Billing
• Ensure compliance with HIPAA, HITECH, CMS guidelines, and healthcare regulations
• Utilize knowledge of HL7, FHIR, EDI X12 (837, 835, 270/271, 278), and EHR/EMR systems
• Work with Agile/Scrum methodologies using JIRA, Confluence, and manage UAT processes
• Apply SQL skills, gap analysis, process modeling, and root-cause analysis
• Identify product enhancements, automation opportunities, and process improvements
Requirements
• 7–10 years of experience (minimum 5 years in Healthcare)
• Deep understanding of US healthcare systems and processes
• Experience with healthcare compliance and regulatory requirements
• Proficiency with healthcare data standards and systems
• Strong analytical and problem-solving skills
• Experience with Agile methodologies and project management tools
• Working knowledge of SQL and process improvement methodologies