Business Analyst - Health Insurance

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Business Analyst – Health Insurance based in United States.

We are looking for an experienced Business Analyst to support the analysis and optimization of business processes and insurance applications within the Swiss health and accident insurance sector.
In this role, you will work closely with business stakeholders and IT specialists to translate complex requirements into effective technical and operational solutions.
You will manage requirements throughout their entire lifecycle, from initial analysis and documentation to implementation and delivery.
A key focus will be improving claims processing workflows and automated invoice verification systems.
You will also contribute to application configuration, data maintenance, quality assurance, and release management.
Working across customer projects and multidisciplinary teams, you will help ensure that insurance solutions remain reliable, efficient, and compliant.
This is an opportunity to combine insurance expertise, analytical skills, and technology in a collaborative project environment.

Accountabilities

As Business Analyst, you will act as the link between business departments and IT teams, ensuring that insurance requirements are accurately understood, documented, and translated into practical solutions. Your responsibilities will include:

• Analyze business requirements and operational processes within the Swiss health and accident insurance sector.

• Develop appropriate solutions in collaboration with business stakeholders and IT specialists.

• Manage requirements throughout the full lifecycle, including analysis, concept development, specification, implementation, and validation.

• Contribute to the continuous improvement of insurance applications and business processes, particularly claims processing and automated invoice verification.

• Ensure the functional and technical quality of applications, supporting error analysis and resolution when needed.

• Configure and maintain insurance applications, including keeping reference data and tariff information accurate and up to date.

• Participate in customer projects and coordinate release planning and implementation with customers, business teams, developers, and system providers.

• Monitor legislative and regulatory developments in the Swiss insurance market and identify the resulting business and system requirements.

Requirements

The ideal candidate combines a solid understanding of health insurance operations with strong business analysis and requirements engineering capabilities. You should be comfortable working independently while collaborating with a range of business and technical stakeholders. The following qualifications are expected:

• Degree or professional training in business informatics, computer science, or a commercial discipline, supported by strong IT affinity.

• Several years of professional experience in the Swiss health and/or accident insurance sector.

• In-depth knowledge of claims processes under the Swiss Health Insurance Act (KVG) and/or Insurance Contract Act (VVG).

• Experience with insurance tariffs and tariff-related processes is an advantage.

• Proven experience in business analysis, requirements engineering, and the analysis, design, and specification of business requirements.

• Familiarity with insurance applications, ideally Adcubum Syrius or Sumex.

• Experience configuring applications; knowledge of SQL is an advantage.

• Knowledge of software testing, quality assurance, or release management is a plus.

• Independent, structured, and solution-oriented working style.

• Strong communication and collaboration skills, with the ability to work effectively with different stakeholders.

• Excellent written and spoken German, with a professional communication style.

Benefits

• Remote working arrangement, open to candidates worldwide.

• Fixed-term employment contract.

• Opportunity to contribute to projects within the Swiss health and accident insurance sector.

• Potential to work across business analysis, insurance application optimization, and IT implementation.

• Start as soon as possible.