Senior Business Analyst / Business Analyst - Healthcare Provider Management

AntrorsMumbai

30+ days ago

Job description

Role : Senior Business Analyst / Business Analyst / Implementation Specialist - Healthcare Provider Management

Location : Mumbai / Pune

About the Role :

We are looking for an experienced and domain-savvy Senior Business Analyst / Business Analyst / Implementation Specialist to join our team focused on Provider Network Management transformation.

This role is ideal for professionals with a deep understanding of Healthcare Provider Lifecycle Operations and hands-on experience in implementing provider management platforms, particularly within the insurance or TPA domain across the APAC market.

The Individual will work closely with cross-functional stakeholders-product, tech, operations, and client teams-to ensure successful implementation and adoption of our next-generation provider management solution.

Key Responsibilities :

Lead requirement gathering, gap analysis, and functional design for provider management system implementations.
Act as the domain expert on provider onboarding, contracting, credentialing, tariff management, performance monitoring, and compliance workflows.
Collaborate with insurer or TPA clients to understand current-state processes and design future-state solutions.
Translate business needs into functional requirements, user stories, and workflows in coordination with product and tech teams.
Support UAT planning, configuration guidance, and rollout coordination for successful go-lives.
Conduct working sessions, discovery workshops, and walkthroughs with APAC-region clients.
Identify process improvement opportunities and actively contribute to platform enhancements.

Educational Qualification / Work Experience & Skills :

PG / MBA / BE / B.Tech or Equivalent with 5 to 10 years of experience in insurance, TPA, or IT consulting with direct involvement in Healthcare Provider Management System Implementations.

Strong understanding of provider lifecycle workflows including onboarding, credentialing, contract & tariff management, and regulatory reporting.

Proven experience working with health or life insurance providers in APAC markets, especially with local operational and compliance nuances.

Comfortable engaging with cross-functional teams and clients at all levels-business, tech, and operations.

Ability to document business requirements clearly and drive solution alignment through workshops and demos.

Experience working with or implementing Healthcare Provider Systems.

Exposure to claims, pre-authorization, or provider fraud monitoring is a plus.

Strong facilitation, communication, and presentation skills.

(ref : hirist.tech)

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Senior Analyst • Mumbai