Exp : 16yrs to 20yrs

About the Job

We are seeking a Manager – Business Analyst with solid US Healthcare and Payer/Provider business analysis experience to lead high-impact functional initiatives across payer and provider programs. This role is a hybrid (hands-on IC + people leadership) and will own functional strategy, stakeholder alignment, delivery governance, and BA capability building. Mandatory: Business Analyst (BA), US Healthcare, API, Payer and Provider business knowledge, strong people management experience. Good to have: Utilization Management (UM), Care Management (CM), and Prior Authorization exposure. You will drive clarity from ambiguity, ensure compliance with CMS expectations, and enable successful execution across cross-functional teams and partners.

What You Will Do

· Lead functional strategy and execution for US Healthcare payer and provider transformation initiatives. (UM/CM/Prior Authorization exposure is good to have.)

· Partner with business leadership, Product, and Technology to shape roadmap inputs, define scope,



and drive prioritization based on business outcomes and regulatory needs.

· Own enterprise requirement governance: establish standards for BRDs/FRDs, epics, user stories, acceptance criteria, RTM, and process models; ensure consistency and quality across teams.

· Provide hands-on functional leadership for complex initiatives—leading discovery workshops, defining target-state processes, and guiding solution design decisions.

· Lead and mentor a team of Business Analysts: coaching, performance feedback, skill development, allocation planning, and best-practice adoption.

· Drive delivery governance across Agile programs: backlog health, story readiness, dependency management, risk/issue tracking, and release readiness.

· Oversee UAT strategy and governance, ensuring test coverage, defect triage discipline, stakeholder sign-offs, and readiness for production deployments.

· Lead impact assessments for regulatory changes and r

📌 Business analyst (Bangalore Metropolitan Area)
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