01Overview
Job Title: Healthcare Business Analyst
Experience: 10+ Years
Location: Hyderabad (Work From Office)
Employment Type: Full-Time
Job Description
We are seeking a Senior Healthcare Business Analyst to lead business and technology initiatives across a nonprofit health plan. This is a senior, highly visible role that partners with business stakeholders, PMO, IT, and vendor teams to drive requirements, shape testing strategy, and keep complex programs moving smoothly. The role spans the plans core lines of business Medicare, Medicaid, Employer Group, and Individual & Family and is well suited to a seasoned analyst who communicates clearly, organizes information well, mentors others, and connects business needs to practical solutions.
What Youll Do
Partner with business stakeholders, PMO, and vendor teams to gather, analyze, and document business and functional requirements.
Create clear documentation requirements, impact summaries, process flows, and cost/benefit writeups to support business decisions and prioritization.
Support requirements across Medicare, Medicaid, Employer Group, and Individual lines of business.
Facilitate and organize meetings and working sessions; present project information clearly to teams and management.
Support testing strategy help define test cases, coordinate UAT, track defects, and confirm resolution.
Maintain project status, documentation, and traceability throughout the project lifecycle.
Coordinate with technology teams on upstream/downstream impacts of proposed changes.
Help identify process improvement opportunities and contribute practical recommendations.
Mentor junior analysts and serve as a goto resource for requirements and documentation standards.
Lines of Business
Medicare Medicare Advantage, Part D, and Dual Eligible (DSNP) populations, including annual enrollment and CMSdriven changes.
Medicaid statesponsored managed care programs, eligibility, and related compliance requirements.
Employer Group (Commercial) group setup, benefit configuration, renewals, and selffunded/ASO arrangements.
Individual & Family on and offexchange ACA plans, open enrollment, and member onboarding.
Required
Bachelors degree in Business Administration, Finance, Computer Science, Healthcare Administration, or a related field.
10+ years of Business Analyst experience, with substantial healthcare payer/health plan experience preferred.
Experience across one or more lines of business: Medicare, Medicaid, Employer Group/Commercial, or Individual/ACA.
Strong analytical skills able to gather, organize, and synthesize information with attention to detail.
Excellent written and verbal communication; comfortable presenting to teams and management.
Experience documenting requirements, use cases, test cases, and success criteria.
Proficiency in Microsoft Office Excel and PowerPoint.
Experience with JIRA, Confluence, Azure DevOps, and Visio.
Ability to manage multiple priorities and work both independently and across teams.
Preferred
Working knowledge of SQL for data review and validation.
Awareness of healthcare regulations (HIPAA, CMS, NCQA, state Medicaid).
Experience working with vendordelivered or configurable platforms.
Core Competencies
Clear communication and stakeholder collaboration.
Structured, detailoriented analysis and documentation.
Comfort working across business and technical teams.
Ownership and followthrough from requirement to delivery.
Ability to lead workstreams and guide lessexperienced analysts.