Claims Business Analyst

Key Responsibilities

Business Analysis

• Gather, analyze, and document business requirements for healthcare claims processing enhancements.
• Work closely with developers to translate business needs into technical solutions.
• Analyze existing system functionality and assess the impact of requested changes.
• Document business processes, workflows, use cases, and functional specifications.

Stakeholder Collaboration

• Facilitate discussions with technical teams, business stakeholders, and project leadership.
• Build strong relationships across cross-functional teams.
• Clearly communicate project status, risks, issues, and recommendations.
• Support planning activities for system enhancements and future modernization initiatives.

Testing & Solution Delivery

• Support testing efforts, including requirements validation and defect analysis.
• Assist with system integration planning and implementation activities.
• Validate delivered functionality meets documented business requirements.
• Participate in solution reviews and continuous process improvement initiatives.

Documentation & Process Improvement

• Develop and maintain business analysis documentation throughout the project lifecycle.
• Identify opportunities to improve business processes and operational efficiency.
• Ensure documentation remains current and aligned with evolving business needs.

Required Qualifications

• 5+ years of Business Analyst experience.
• Experience supporting healthcare or insurance claims processing systems.
• Strong understanding of claims processing and payment workflows.
• Experience gathering, documenting, and validating functional requirements.
• Strong analytical, organizational, and problem-solving skills.
• Excellent written and verbal communication skills.
• Comfortable facilitating discussions in a fully remote environment.
• Self-starter with the ability to work independently and collaboratively across technical and business teams.

Preferred Qualifications

• Experience supporting healthcare or insurance claims processing systems.