Business Analyst Healthcare (Claims & Payment Integrity)

Job Description

Required Experience

• 10+ years of Business Analysis / Business Systems Analysis experience
• Strong U.S. Healthcare experience working with all Lines of businesses
• Payment Integrity, Claims, FWA/Revenue Cycle Management experience
• Experience supporting AI, advanced analytics, or intelligent automation initiatives
• Healthcare claims processing and adjudication knowledge
• Knowledge of lifecycle of a claim is a “MUST”. Claims processing is an added advantage
• Agile delivery experience
• SQL and data analysis capabilities
• Experience working with Databricks, Snowflake, Tableau, or Power BI preferred
• Deep expertise across Commercial (E&I), Medicare & Retirement (M&R), Community & State (C&S), Rx, Dental, and Vision.