Sign upLog in
See more jobs

Business Analyst

Axelon Services Corporation

  • Aliso Viejo, CA
  • Today
  • Remote
  • $55–$60 Per Hour

Highlights

Job Description: Experienced Business Analyst with strong Healthcare Payer domain expertise, working closely with business stakeholders, Product Owners, SMEs, and technology teams to deliver healthcare solutions. Demonstrate strong knowledge of Healthcare Payer processes, including Claims, Enrollment, Provider Management, Care Management, and related healthcare operations.

Numbers & Facts

LocationAliso Viejo, CA (
Remote
)
Salary$55–$60 Per Hour

Description

Job Title : Business Analyst ( Healthcare Payer )
Location : Remote

Job Description :
  • Experienced Business Analyst with strong Healthcare Payer domain expertise, working closely with business stakeholders, Product Owners, SMEs, and technology teams to deliver healthcare solutions.
  • Gather, analyze, document, validate, and manage business and functional requirements throughout the SDLC.
  • Conduct stakeholder interviews, workshops, requirement elicitation sessions, and requirement review meetings.
  • Create and maintain BRDs, FRDs, user stories, use cases, process flows, business rules, and functional specifications.
  • Define clear acceptance criteria and ensure requirements are well understood by development and QA teams.
  • Perform gap analysis, identify business process improvements, and recommend effective solutions.
  • Analyze healthcare business processes across Payer, Provider, Claims, Enrollment, Care Management, and Clinical domains.
  • Collaborate with Healthcare SMEs to define business rules, workflows, processes, and system requirements.
  • Ensure solutions align with healthcare operational, regulatory, compliance, and data management requirements.
  • Work closely with Product Owners and Scrum teams to manage, refine, and prioritize product backlogs.
  • Participate in Sprint Planning, Backlog Grooming/Refinement, Sprint Reviews, and Retrospectives.
  • Translate business requirements into actionable user stories and functional requirements.
  • Support requirement clarification, prioritization, and decision-making throughout the Agile development lifecycle.
  • Act as a liaison between business stakeholders, technical teams, QA teams, Product Owners, and project leadership.
  • Facilitate requirement review sessions, obtain stakeholder approvals/sign-offs, and ensure alignment across teams.
  • Communicate project status, risks, dependencies, issues, and business impacts to relevant stakeholders.
  • Coordinate with cross-functional teams to support successful project delivery and resolve requirement-related issues.
  • Support test planning, test case reviews, test execution, and User Acceptance Testing (UAT).
  • Validate implemented solutions against approved business and functional requirements.
  • Assist with production releases, deployment activities, and post-implementation support.
  • Track defects, clarify requirements, and coordinate with development and QA teams for resolution.
  • Demonstrate strong knowledge of Healthcare Payer processes, including Claims, Enrollment, Provider Management, Care Management, and related healthcare operations.
  • Have hands-on experience with Agile/Scrum methodologies, SDLC, requirements management, and business process analysis.
  • Proficiency with tools such as JIRA, Confluence, Azure DevOps, or similar requirements and project management platforms.
  • Strong understanding of healthcare data platforms, reporting, analytics, and enterprise healthcare solutions.
  • Knowledge of healthcare standards and regulations such as HIPAA, HL7, FHIR, ICD-10, and EDI transactions is preferred.
  • Exposure to digital healthcare transformation initiatives and enterprise-scale healthcare environments is preferred.
  • Strong analytical, problem-solving, communication, presentation, facilitation, and stakeholder management skills.
  • Ability to work collaboratively with cross-functional teams while demonstrating ownership, accountability, and attention to detail.
  • Certifications such as CBAP, CCBA, CSPO, or Scrum-related certifications are preferred.

Similar Jobs

See more jobs