via Dice
$120K - 150K a year
Analyze and document healthcare payer business processes, facilitate system integrations, and translate business needs into technical requirements.
Minimum 5 years of healthcare payer/TPA experience, expertise in requirements gathering, system integration, and healthcare portals, with strong communication and analytical skills.
Job Title: Enterprise Business Analyst Location: Remote- USA (Preferably EST Consultants) Duration: Long term contract Healthcare experience is Mandatory What s needed: • Enrolment & Eligibility, • Benefit Administration, • Vendor Integrations, • Claims Administration, • Contribution Accounting, • TPA • Payers • Clinical, Billing & Payment, • Member, Provider and • Employer facing portal/service. Job Description: Essential Qualifications & Skills: • Bachelor's degree or equivalent experience. BA Certifications and or PMP a plus. • Minimum 5 years of experience as a business analyst in healthcare payer/TPA in onboarding new self-funded clients or implement product in Multi-employer Trust or Health Plan Administration • Expertise and experience in preparing High Level requirements, Use Cases, Data governance, Business Requirement Documents, Functional specifications, Test strategy & cases and Traceability matrix. • Experience in programs that focus on system integrations with 3rd party vendors is a must. • Proven ability to map business process and workflows, conduct gap analysis and document requirements, ensuring requirements are developed and tested. • Excellent verbal/written communication skills; comfortable leading business and technology teams within the organization to translate business issues & requirements into technical solutions. • Healthcare Insurance Payer experience in one of the following areas covering business & technology: • Enrolment & Eligibility, Benefit Administration, Vendor Integrations, Claims Administration, Contribution Accounting, Clinical, Billing & Payment, Member, Provider and Employer facing portal/service • Strong analytical and problem-solving skills; • Ability to analyze problems and resolve issues through resolution quickly and methodically. • Skilled at persuasive written and verbal communications that drive action or set strategic direction. • Experience in healthcare analytics, business analysis, or a similar role. • Strong understanding of healthcare systems, policies, and regulatory requirements. • Proficient with Word, Excel, PowerPoint and Visio MS Office, Jira. • Self-motivated and detail-oriented • Flexibility to adapt quickly to changing requirements and priorities. Preferred Qualifications: • Any relevant certifications in health insurance, healthcare analytics, or related areas would be an advantage. • Effective time management and the ability to handle multiple priorities. • Passion for continuous learning and staying updated with the latest Health care scenarios. • Client-focused with a commitment to delivering high-quality solutions. Thanks & Regards Saravanan DMinds Solutions Inc.
This job posting was last updated on 1/13/2026