Note: The job is a remote job and is open to candidates in USA. An unnamed client is seeking a Business / Regulatory Analyst for a remote project. The role involves supporting healthcare payer regulatory initiatives and requires expertise in payer operations, regulatory analysis, and business analysis documentation.
Skills
- Bachelor's degree in Business, Healthcare Administration, Information Systems, Public Policy, or related field
- 12+ years of Business Analyst or Regulatory Analyst experience
- 10+ years of healthcare payer experience
- Experience supporting Medicaid, Medicare, or Commercial health-plan regulatory initiatives
- Strong understanding of healthcare payer operations, including claims lifecycle, eligibility and enrollment, provider management, and healthcare data flows
- Working knowledge of EDI transactions: 834, 837, 835, and 270/271
- Experience creating BRDs, FRDs, User Stories, Process Flows, and RTMs
- Experience working within Agile and/or SAFe environments
- Strong documentation, communication, and stakeholder management skills
Benefits
- Remote work arrangement
Company Overview