Business Analyst (Healthcare Domain)

As a Business Analyst , you will work across the full product lifecycle, from discovery and concept validation to delivery and post-launch analysis. You will collaborate closely with product managers, UX designers, data engineers, and QA testers to define requirements, improve workflows, and optimize outcomes. A strong understanding of healthcare-specific workflows and terminology is essential.

Key Responsibilities:

�� Requirements Gathering & Product Documentation

· Elicit and document business, functional, and technical requirements from cross-functional stakeholders.

· Create detailed Business Requirement Documents (BRDs) , Functional Specifications , User Stories , Use Cases , and Acceptance Criteria .

· Define complex field-level rules, interdependencies, and validation logic, especially in modules like:

o Provider Onboarding (NPI, TIN, CLIA, HPSA)

o Patient Intake, Referrals & Scheduling

o Clinical Documentation & Case Management

o Eligibility Verification, Claims Intake, Authorizations

· Translate ambiguous business needs into structured product features and user journeys.

�� Process Mapping & Analysis

· Model current and future-state workflows using BPMN, flow diagrams, and swimlanes.

· Conduct gap analysis between current platform capabilities and future product needs.

· Identify workflow inefficiencies and opportunities for automation or improvement.

· Align product workflows with evolving care models (e.g., virtual care, team-based care, chronic care management).

�� Stakeholder Collaboration

· Act as a liaison between business and technical teams to ensure mutual understanding of product goals.

· Lead requirement walkthroughs and backlog grooming sessions with internal stakeholders.

· Work with clinicians, operations leaders, and compliance officers to ensure regulatory and operational alignment.

· Serve as the “voice of the user” during design, development, and testing phases.

�� Data & Integration Analysis

· Collaborate with data engineering teams to define reporting logic, KPIs, and data validation rules.

· Help define API payload requirements, interface specifications, and system integration points.

· Support FHIR, HL7, and EDI-based data exchange requirements at a conceptual or field-level mapping level.

�� Testing & Quality Assurance

· Develop test scenarios, data sets, and expected outcomes based on requirements.

· Support User Acceptance Testing (UAT), identify issues, and validate solutions.

· Help triage production issues by analyzing root causes and clarifying expected behavior.

Required Qualifications:

· 8 years of experience as a Business Analyst in the healthcare technology or digital health sector .

· Proven ability to translate healthcare operations into system requirements.

· Strong knowledge of healthcare workflows, such as:

o Provider credentialing or contracting

o Claims, billing, prior authorization

o Clinical documentation workflows

o Patient intake, appointment management, referrals

· Solid understanding of healthcare data structures (e.g., NPI, ICD-10, CPT, CLIA ID, TIN, HPSA, etc.).

· Proficient in writing detailed, structured user stories with acceptance criteria for Agile/Scrum teams.

· Strong analytical and communication skills, with the ability to simplify complex ideas.

· Hands-on experience with product collaboration tools: Jira, Confluence, Figma, Lucidchart, or similar.

Preferred Qualifications:

· Familiarity with healthcare interoperability standards such as FHIR, HL7, or EDI.

· Understanding of privacy and compliance frameworks (e.g., HIPAA, HITECH, GDPR-equivalent for data protection).

· Exposure to working with EHRs, provider networks, or care coordination platforms.

· Ability to work with relational databases (e.g., MySQL, PostgreSQL) or tools like Looker/Tableau for validation.

· Experience working in fast-paced SaaS, product-led, or startup environments.

Benefits:

• Provident Fund

Application Question(s):

• What is your CTC and ECTC?
• What is your notice period?

Experience:

• BRD: 5 years (Preferred)
• FRD: 5 years (Preferred)
• FHIR: 5 years (Preferred)
• HL7: 5 years (Preferred)
• heathcare domain: 5 years (Preferred)
• total: 6 years (Preferred)

Work Location: Hybrid remote in Hyderabad, Telangana 500099