Senior Business Analyst – US Healthcare / PBM / AI (Bengaluru)

Senior Business Analyst – US Healthcare / PBM / AI (Bengaluru)

22 Sep
|
Clock Edge Technologies Pvt Lt
|
Bengaluru

22 Sep

Clock Edge Technologies Pvt Lt

Bengaluru

Senior Business Analyst – US Healthcare / PBM / AI

Experience: 15+ Years

Budget: 25–27 LPA

Location: Bangalore / Hyderabad – Hybrid

Role Type: Senior Individual Contributor / Functional Lead

Mandatory Skills

Domain – Must Have

US Healthcare

Pharmacy Benefit Management (PBM)

Strong understanding of pharmacy claims lifecycle

NCPDP transactions

Real-time claims adjudication

Claims edits/rejects/reversals

Coordination of Perks (COB)

Member cost-share calculations

Plan & benefit configuration

Formularies / tiers

Drug Utilization Review

Prior Authorization

Step Therapy / Quantity Limits

Pharmacy networks

Specialty pharmacy

Pricing / rebates / financial reconciliation

HIPAA / PHI / PII

CMS / Medicare Part D / Medicaid knowledge

Business Analysis – Must Have

15+ years BA / Product Analysis / Product Ownership / Healthcare Technology

Requirements elicitation & discovery

BRD / FRD / functional requirements

Epics / Features / User Stories

Acceptance Criteria

Business Rules / Decision Tables

Process Mapping / BPMN

Journey Mapping

Traceability Matrix





Gap & Root Cause Analysis

UAT / Release Readiness

Agile / Scrum / SDLC

Azure DevOps / Jira

AI – Mandatory

Hands-on Generative AI / AI / ML / NLP / Intelligent Automation

AI use-case identification and prioritization

AI product requirements

Prompting

RAG

Embeddings / Vector Search

AI evaluation scenarios

Hallucination / model limitations

Human-in-the-loop

Explainability / auditability

AI safety, privacy and security

AI acceptance criteria / quality evaluation

UI/UX – Strong Requirement

Wireframes

Prototypes

User journeys

Screen flows

Usability

Accessibility

Figma / Axure / Balsamiq / Adobe XD

Data / Integration

SQL

Excel

Power BI / BI tools

Data mapping / lineage

Reconciliation

APIs

EDI / files

Integration requirements

Reporting & analytics

Pay: ₹2,500,000.00 - ₹2,700,000.00 per year

Work Location: Hybrid remote in Bangalore City, Bengaluru, Karnataka

📌 Senior Business Analyst – US Healthcare / PBM / AI (Bengaluru)
🏢 Clock Edge Technologies Pvt Lt
📍 Bengaluru

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