Haystack
← Back to Jobs
Remote
Healthcare
LT

Senior Healthcare Business Analyst / Behavioral Health SME

Lorven Technologies, Inc.Dallas, TX🇺🇸United StatesPosted Sep 30, 2026

Why This Role Stands Out

Leverage your expertise in healthcare and behavioral health to drive impactful solutions in women's health, oncology, and MSK with this remote FTE opportunity. You will thrive if you are a seasoned professional with a passion for innovation and a desire to contribute to a leading company. Apply today to advance your career in a flexible and rewarding environment.

Quick Overview

Seniority
Mid Senior
Work mode
Remote
Location
Dallas, TX, United States
Posted
20 hours ago
Case ManagementMental HealthStakeholder Management

Job Description

Position: Senior Healthcare Business Analyst / Behavioral Health SME

Location: REMOTE

Duration: FTE/Long Term

Note: Key Areas need to be focused

1.           Women's health

2.           Oncology

3.           Health solutions

4.           MSK

Requirements

  • 10+ years of Healthcare Payer experience with 5+ years in Behavioral Health (Mental Health & Substance Use Disorders).
  • Strong understanding of the end-to-end payer lifecycle:
    • Eligibility & Enrollment
    • Benefits Configuration
    • Claims Processing & Adjudication
    • Prior Authorization
    • Care & Case Management
    • Provider Management
    • Appeals & Grievances
    • Payment Integrity
  • Deep knowledge of Behavioral Health regulations, including:
    • MHPAEA (Mental Health Parity)
    • Medicare & Medicaid BH programs
    • HIPAA
    • CMS and State-specific regulatory requirements
    • NCQA/URAC standards
  • Strong Business Analysis skills:
    • Requirements gathering
    • BRD/FRD/User Stories
    • Process mapping
    • Gap analysis
    • UAT/SIT support
    • Stakeholder management
  • Experience with payer platforms such as Facets, QNXT, HealthRules, GuidingCare, TruCare, or similar.
  • Knowledge of healthcare transactions and interoperability standards:
    • 837, 835, 834, 270/271
    • HL7/FHIR
  • Strong SQL, data analysis, and system integration understanding.

Thanks and Have a nice day,

 

Madhan

Lorven Technologies, Inc.

101 Morgan Lane | Suite 209 | Plainsboro | NJ 08536

X 251

Email: | Web: 

Similar jobs

Browse related jobs

Apply now