Job Title: Business Analyst – Healthcare (Clinical Domain)
Role Overview
We are seeking a Healthcare Business Analyst with solid clinical and domain expertise to support transformation across healthcare operations. The role focuses on end-to-end process analysis, requirement definition, and solution design across claims and pre-authorization workflows. The ideal candidate will combine clinical knowledge, analytical rigor, and technology orientation to drive productivity improvements, reduce turnaround time (TAT), and enable AI-driven solutions.
Key Responsibilities
Healthcare Process & Domain Analysis
Analyze end-to-end healthcare workflows, with focus on:
Claims processing lifecycle
Pre-authorization (Pre-auth) workflows
Clinical and operational decision points
Apply working knowledge of ICD, CPT, HCPCS, and healthcare terminology during analysis and requirement definition.
Understand current-state processes, identify inefficiencies, and perform gap analysis to highlight errors, rework, and bottlenecks.
Recommend improvements to reduce TAT, improve productivity,



and enhance quality.

Business Analysis & Requirements Management
Gather, analyze, and document business, functional, and system requirements.
Translate clinical and operational requirements into:
Product Requirement Documents (PRD)
Software / Solution Design documents (SD)
Functional specifications and workflow diagrams
Ensure requirements are transparent, testable, and aligned with business objectives.
Support backlog grooming, change requests, and scope clarifications.

Solution Design & Technology Enablement
Collaborate with IT, product, and architecture teams to support solution design.
Contribute to workflow, rules, and automation design for claims and pre-auth processes.
Identify opportunities to apply AI, automation, and decision-support toolsto:
Error identification
Exception handling
Productivity improvement
Support solution validation through walkthroughs, dem

📌 Automation Vhc Bengaluru
🏢 Vidal Healthcare Services
📍 Bengaluru