Senior Business Analyst – US Healthcare / PBM / AI
# Senior Business Analyst – US Healthcare / PBM / AI **Clock Edge Technologies Pvt Lt** · Bangalore City, Bengaluru, Karnataka · `On-site` 🕒 **Статус:** *Опубликовано: сегодня* · *Источник: Indeed* --- ### About the Role Senior Business Analyst – US Healthcare / PBM / AI Experience: 15+ Years Budget: 25–27 LPA Location: Bangalore / Hyderabad – Hybrid Role Type: Senior Individual Contributor / Functional Lead Mandatory Skills Domain – Must Have US Healthcare Pharmacy Benefit Management (PBM) Strong understanding of pharmacy claims lifecycle NCPDP transactions Real-time claims adjudication Claims edits/rejects/reversals Coordination of Benefits (COB) Member cost-share calculations Plan & benefit configuration Formularies / tiers Drug Utilization Review Prior Authorization Step Therapy / Quantity Limits Pharmacy networks Specialty pharmacy Pricing / rebates / financial reconciliation HIPAA / PHI / PII CMS / Medicare Part D / Medicaid knowledge Business Analysis – Must Have 15+ years BA / Product Analysis / Product Ownership / Healthcare Technology Requirements elicitation & discovery BRD / FRD / functional requirements Epics / Features / User Stories Acceptance Criteria Business Rules / Decision Tables Process Mapping / BPMN Journey Mapping Traceability Matrix Gap & Root Cause Analysis UAT / Release Readiness Agile / Scrum / SDLC Azure DevOps / Jira AI – Mandatory Hands-on Generative AI / AI / ML / NLP / Intelligent Automation AI use-case identification and prioritization AI product requirements Prompting RAG Embeddings / Vector Search AI evaluation scenarios Hallucination / model limitations Human-in-the-loop Explainability / auditability AI safety, privacy and security AI acceptance criteria / quality evaluation UI/UX – Strong Requirement Wireframes Prototypes User journeys Screen flows Usability Accessibility Figma / Axure / Balsamiq / Adobe XD Data / Integration SQL Excel Power BI / BI tools Data mapping / lineage Reconciliation APIs EDI / files Integration requirements Reporting & analytics Pay: ₹2,500,000.00 - ₹2,700,000.00 per year Work Location: Hybrid remote in Bangalore City, Bengaluru, Karnataka
Наблюдалась 2026-09-21, впервые 2026-09-21, источник — Indeed.