Business Analyst (Healthcare / Provider Management / Provider Enrolment)

Job Title: Business Analyst (Healthcare / Provider Management / Provider Enrolment)

Location: Dallas, TX

Duration: Long Term

Job Description:

Key Responsibilities:

·       Gather, analyze, and document business requirements related to Provider Management and Provider Enrollment processes

·       Work with stakeholders to understand provider lifecycle workflows including onboarding, credentialing, contracting, and enrollment

·       Create BRDs, FRDs, user stories, process flows, and gap analysis documents

·       Support system implementation, integrations, and enhancements in provider data systems

·       Collaborate with IT and QA teams during development and testing phases

·       Participate in UAT and ensure solutions meet business requirements

·       Analyze provider data and identify process improvement opportunities

·       Ensure compliance with healthcare regulations and standards

Required Skills & Experience:

·       10+ Year of overall IT Experience

·       Strong domain experience in Provider Management (PM)

·       Hands-on experience with Provider Enrollment (PE) processes (Medicare, Medicaid, Commercial payers)

·       Good understanding of the provider lifecycle (credentialing, contracting, enrollment, maintenance)

·       Experience working as a Business Analyst in the healthcare/medical domain

·       Knowledge of healthcare regulations and compliance requirements

·       Experience with requirement documentation and stakeholder communication

·       Strong analytical and problem-solving skills

Preferred Qualifications:

·       Bachelor’s degree in Healthcare Administration, Business, IT, or related field

·       Experience with healthcare systems or provider data management platforms

·       Familiarity with CMS guidelines and payer enrollment systems

·       Excellent communication and documentation skills