Talent.com
Business Analyst- Health Claims Platform- Hong Kong

Business Analyst- Health Claims Platform- Hong Kong

MetaMorphoSys TechnologiesDelhi, India
20 hours ago
Job description

Business Analyst – Health Insurance Platform (Hong Kong)

About Us

MetaMorphoSys is a next-generation InsurTech product company transforming life and health insurance across Asia. We offer a unified platform across five core value streams : Claims, Underwriting, Provider Management, Benefit Configuration, and FWA. Our platform is live across multiple markets and is now being implemented for a major claim’s transformation initiative in Hong Kong.

About the role :

We are looking for a Business Analyst to be stationed onsite at our client location in Hong Kong. This role is ideal for a self-driven professional who can blend strong business analysis skills with deep insurance domain expertise (In the area of Health Claims) to deliver impactful client outcomes.

As the onsite lead, you will act as the face of MetaMorphoSys at the client site — owning requirement definition, driving configuration workshops, ensuring alignment between business needs and product capabilities, and guiding both client and internal teams through implementation.

You will also serve as the Subject Matter Expert, advising the client on best practices, product fitment, and process optimization within the insurance domain.

This is not a generic BA role. The ideal candidate must have a deep understanding of end-to-end health insurance claims processing in Hong Kong, including preauthorisation, provider management, ICD / PCS codes, adjudication rules, and regulatory expectations. The SME is expected to lead workshops, validate use cases, map requirements, and guide the customer through best practices, rather than eliciting vague asks. Cantonese proficiency is preferred but not mandatory. While Cantonese is advantageous, strong command over English and health insurance domain knowledge is essential

This role demands a mix of consulting mindset, solution thinking, and hands-on execution.

Location : Hong Kong (Full-time, stationed onsite)

Job Type : Full-time | Contract or Permanent

Experience : 8-10 years

Domain : Health Insurance – Claims & Provider Management

Employer : MetaMorphoSys Technologies

Role – Business Analyst – Health Insurance Platform (Hong Kong)

Key Responsibilities

  • Serve as MetaMorphoSys's functional lead for claims during all phases of the

implementation.

  • Conduct and lead requirement workshops, including discovery, process validation, and data mapping sessions.
  • Make extremely detailed, comprehensive and presentable documentation to aid the product feature enhancement process and create ‘wow’ customer experience considering this documentation will form the basis of our entire implementation strategy
  • Understand Hong Kong’s health claims landscape—including :

  • VHIS products and top-up riders
  • Pre-authorisation flows and provider billing logic
  • Medical coding standards (ICD, PCS, TOSP)
  • Provider networks and reimbursement models
  • Claims SLAs, appeals, regulatory workflows, and audit readiness.

  • Provide clear, assertive guidance to customers—mapping their needs to MetaMorphoSys’s product capabilities and identifying any configuration / localisation required.
  • Act as a bridge between the customer’s business team and MetaMorphoSys’s offshore implementation and product teams (India-based).
  • Support test scenario definition, UAT planning, and go-live validation, ensuring alignment to the functional use cases.
  • Review product enhancements or localisation requests to ensure they are truly needed and not a workaround for missing understanding.
  • Document all validated requirements in collaboration with Business Analysts and maintain traceability.
  • Required Skills & Experience

    8-10 years of experience in health insurance claims domain.

  • Strong domain knowledge across claims processing, provider management, benefit adjudication, and regulatory compliance.
  • Exemplar documentation skills
  • Keen attention to detail
  • Prior experience working on claims platform implementations or transformation projects in Hong Kong or other APAC health insurance markets.
  • Familiarity with :

  • ICD, PCS, and surgical procedure codes
  • Medical necessity and coding validation
  • Claim-to-policy benefit mapping
  • Eligibility verification and co-pay / deductible logic
  • Ability to lead workshops, navigate ambiguity, and guide business users confidently.
  • Excellent communication skills in English; Cantonese is preferred but not mandatory. Ability to work with offshore teams and represent the product roadmap, configurability, and functional boundaries clearly.
  • Preferred Qualifications

  • Experience working with Hong Kong-based life and health insurers.
  • Functional experience with auto-adjudication engines, pre-auth platforms, or provider portals.
  • Exposure to regulatory guidelines from FHB, IA, or MOH in Hong Kong.
  • Clinical coding background or familiarity with coding audit processes is a strong plus.
  • Bachelor’s degree in Life Sciences, Insurance, Healthcare Administration, or equivalent.
  • Note :

    This role is central to our delivery success in Hong Kong. The candidate will act as a trusted domain face of MetaMorphoSys, leading the claims track with confidence, customer empathy, and strong product understanding.

    Those interested can write to us at jobs@metamorphtech.com

    Create a job alert for this search

    Platform Analyst • Delhi, India

    Related jobs
    • Promoted
    • New!
    Senior Associate - Claims [T500-21212]

    Senior Associate - Claims [T500-21212]

    Arch Global Services IndiaMeerut, IN
    Arch) is a leading global insurer with operations in more than a dozen countries.We write insurance, reinsurance and mortgage insurance on a worldwide basis, and our customers value us as an innova...Show moreLast updated: 5 hours ago
    • Promoted
    Alteryx Architect

    Alteryx Architect

    Tech MahindraDelhi, IN
    Experience : 10+ years (including 4–5 years on Alteryx platform).We are looking for an experienced Alteryx Architect to lead the design and delivery of enterprise-grade analytics and automation work...Show moreLast updated: 6 days ago
    • Promoted
    Forward Deployed Analyst (Ex-IB / PE / HF / Buyside)

    Forward Deployed Analyst (Ex-IB / PE / HF / Buyside)

    ArcanaDelhi, IN
    Forward-Deployed Analyst – Portfolio Intelligence.Arcana builds institutional-grade analytics for leading hedge funds and asset managers. We’re hiring exceptional analysts to partner with portfolio ...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Analyst, Claims

    Analyst, Claims

    ConfidentialGurugram, Gurgaon / Gurugram, India
    AXA XL is looking for talented individuals to support our business across all product lines and geographies.This is an exciting opportunity to be part of a dynamic, global business.This role requir...Show moreLast updated: 4 hours ago
    • Promoted
    Technical Specialist-Claims Business Analyst

    Technical Specialist-Claims Business Analyst

    ConfidentialNoida, India
    The Claims Business Analyst for Guidewire ClaimCenter is responsible for developing detailed business and functional requirements for claims processing and administration systems, as well as ensuri...Show moreLast updated: 2 days ago
    • Promoted
    Fraud & Payments Risk Analyst - 50820

    Fraud & Payments Risk Analyst - 50820

    TuringMeerut, IN
    Based in San Francisco, California, Turing is the world’s leading.AI labs and a trusted partner for global enterprises deploying advanced AI systems. Turing supports customers in two ways : first, by...Show moreLast updated: 1 day ago
    • Promoted
    Principal Analytics Consultant

    Principal Analytics Consultant

    ProspectionDelhi, IN
    Are you passionate about turning real-world healthcare data into actionable insights that improve patient outcomes? At.RWD) to deliver high-impact outcomes for pharmaceutical companies, healthcare ...Show moreLast updated: 30+ days ago
    • Promoted
    Business Risk Manager (Savings)

    Business Risk Manager (Savings)

    RevolutDelhi, IN
    People deserve more from their money.More visibility, more control, and more freedom.Since 2015, Revolut has been on a mission to deliver just that. Our powerhouse of products — including spending, ...Show moreLast updated: 26 days ago
    • Promoted
    Drug Safety Specialist

    Drug Safety Specialist

    Tata Consultancy ServicesMeerut, IN
    Argus / Case Processing / Drug Safety.Educational Qualification(s) Required –.Interested can share their CV on.Ability to understand and analyses the complex data and performs the activities includin...Show moreLast updated: 4 days ago
    • Promoted
    Business Analyst | Health tech Wearable Startup |

    Business Analyst | Health tech Wearable Startup |

    MetaMorphDelhi, India
    Global Retail Analytics | Impact Across 5000+ Stores.Want to turn data into decisions that shape global retail performance? We’re looking for a. You’ll analyze large-scale datasets, build dynamic da...Show moreLast updated: 27 days ago
    • Promoted
    • New!
    Health Insurance Specialist

    Health Insurance Specialist

    TekPillar®Meerut, IN
    Position : Business Development Manager.Company : India’s Leading Health Insurance Company.CTC : Up to 5 LPA + Incentives + Benefits. Experience : Minimum 2 years of experience in Life / Health Insurance ...Show moreLast updated: 5 hours ago
    • Promoted
    Analyst (Investment Banking / Buy-Side Experience Required)

    Analyst (Investment Banking / Buy-Side Experience Required)

    ArcanaDelhi, IN
    Arcana is a portfolio intelligence platform used by hedge funds and asset managers to analyze performance and risk.We’re rethinking the tools institutional investors rely on—and we’re hiring analys...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Bancassurance Specialist

    Bancassurance Specialist

    MONEYLICIOUS INVESTMENTS AND CONSULTING SERVICES PRIVATE LIMITEDMeerut, IN
    Job Title : Front Line Sales Manager.Sales Manger - The Front Line Sales Executive will be responsible for driving insurance sales through both Banca (bank channels. This includes relationship manage...Show moreLast updated: 5 hours ago
    • Promoted
    • New!
    Healthcare-(AR QA)

    Healthcare-(AR QA)

    Career GuidelineMeerut, IN
    Job Title : SME – Healthcare (AR QA).Notice Period : Immediate to 30 days.We are looking for an experienced Accounts Receivable professional with strong healthcare. The ideal candidate should have a s...Show moreLast updated: 5 hours ago
    Senior Business Analyst - Health Insurance (Fully Remote, CET)

    Senior Business Analyst - Health Insurance (Fully Remote, CET)

    CoverGoNew Delhi, DL, IN
    Remote
    Quick Apply
    Working on the latest tech for the Insurtech Market Leader.At CoverGo, our mission is to empower all insurance companies to make insurance 100% digital and accessible to everyone.We are a leading g...Show moreLast updated: 30+ days ago
    • Promoted
    Enterprise Architect-Health Care

    Enterprise Architect-Health Care

    SutherlandGhaziabad, IN
    Lead the design and development of the architecture for systems or solutions, ensuring alignment with business requirements and technical standards. Create and define the overall structure of a solu...Show moreLast updated: 6 days ago
    • Promoted
    Business Risk Manager (Technology)

    Business Risk Manager (Technology)

    RevolutDelhi, IN
    People deserve more from their money.More visibility, more control, and more freedom.Since 2015, Revolut has been on a mission to deliver just that. Our powerhouse of products — including spending, ...Show moreLast updated: 30+ days ago
    • Promoted
    D365 CRM Business Analyst

    D365 CRM Business Analyst

    Golden OpportunitiesDelhi, IN
    We’re Hiring : Dynamics 365 Business Analyst / Functional Consultant.Are you passionate about transforming business processes with technology? Join our team as a. Dynamics 365 Functional Consultant.S...Show moreLast updated: 1 day ago