Senior Business Analyst

Job Description :
Act as a functional Business Analyst for Medical Network Management, supporting provider setup, contracting, and network configuration initiatives.
Gather, analyze, and document business requirements related to claims processing, provider networks, RCM, and compliance (Medicare/Medicaid).
Collaborate with stakeholders, payers, providers, and technical teams to translate healthcare business needs into functional specifications and user stories.
Support end-to-end claims lifecycle, including network alignment, reimbursement rules, and provider data accuracy.
Work in Agile and Waterfall environments, participating in sprint planning, backlog grooming, UAT, and deployment activities.
Ensure adherence to healthcare regulations such as HIPAA, CMS guidelines, and payer-specific policies.
Coordinate with QA and testing teams to validate network management and claims-related enhancements.
Prepare status reports, conduct stakeholder reviews, and support ...