Experience: 4+ Years
Location: Gurgaon, Bangalore
Mode: Hybrid
Joining: Immediate

Job Description

We are looking for an experienced Business System Analyst with strong experience in the US Healthcare domain to bridge business requirements and technology solutions. The candidate should have hands-on experience working with healthcare processes, requirements gathering, system analysis, and stakeholder management.

Must-Have Skills

- 3+ years of experience as a Business Analyst / Business System Analyst
- Strong US Healthcare domain experience
- Good understanding of Healthcare Payer, Provider, Claims, Eligibility & Benefits processes
- Experience with Medicare, Medicaid, Commercial Insurance is preferred
- Strong knowledge of US Healthcare workflows and transactions
- Experience with EDI transactions 837, 835, 834, 270/271
- Strong SQL skills for data analysis and validation
- Requirement gathering, analysis, and documentation
- Experience creating BRD, FRD, User Stories, Use Cases, Process Flows, RTM
- Strong experience in Agile/Scrum methodology
- Experience working with JIRA / Confluence or similar tools
- Strong UAT, defect management,



and production support experience
- Excellent communication and stakeholder management skills

Key Responsibilities

- Gather, analyze, and document business and system requirements from healthcare stakeholders.
- Translate business requirements into functional and technical specifications.
- Analyze existing healthcare systems and recommend process/system improvements.
- Work closely with Product Owners, Developers, QA, and healthcare SMEs.
- Analyze claims, eligibility, enrollment, provider, and payment-related data.
- Perform SQL-based data validation and investigate data discrepancies.
- Create user stories with detailed acceptance criteria.
- Prepare process flows, data mapping documents, and requirement traceability matrices.
- Support UAT planning, execution, defect triage, and business sign-off.
- Analyze impacts of current healthcare regulations, business rules, and system changes.
- Participate in Agile ceremonies including refinement, sprint planning, daily stand-ups, and retrospectives.

📌 Business Analyst-Payers & Claims(US Healthcare)_Immediate (Gurugram)
🏢 Kezan consulting
📍 Gurugram