Job Role: Senior Business Analyst
Primary Skill: Business Analyst inHealth Plan / Payer — Medicare, Medicaid, Employer Group & Individual
Location: Hyderabad
Employment Type: Permanent
Experience: 10+ Years
About the Role:
We are seeking a Senior Healthcare Business Analyst to lead business and technology initiatives across a non-profit health plan. This is a senior, highly visible role that partners with business stakeholders, PMO, IT, and vendor teams to drive requirements, shape testing strategy, and keep complex programs moving smoothly. The role spans the plan's core lines of business — Medicare, Medicaid, Employer Group, and Individual & Family — and is well suited to a seasoned analyst who communicates clearly, organizes information well, mentors others, and connects business needs to practical solutions.
What You'll Do:
- Partner with business stakeholders, PMO, and vendor teams to gather, analyze, and document business and functional requirements.
- Create clear documentation — requirements, impact summaries, process flows, and cost/benefit write-ups to support business decisions and prioritization.
- Support requirements across Medicare, Medicaid, Employer Group, and Individual lines of business.
- Facilitate and organize meetings and working sessions; present project information clearly to teams and management.
- Support testing strategy — help define test cases, coordinate UAT, track defects, and confirm resolution.
- Maintain project status, documentation, and traceability throughout the project lifecycle.
- Coordinate with technology teams on upstream/downstream impacts of proposed changes.
- Help identify process improvement opportunities and contribute practical recommendations.
- Mentor junior analysts and serve as a go-to resource for requirements and documentation standards.
Lines of Business:
- Medicare — Medicare Advantage, Part D, and Dual Eligible (D-SNP) populations, including annual enrollment and CMS-driven changes.
- Medicaid — state-sponsored managed care programs, eligibility, and related compliance requirements.
- Employer Group (Commercial) — group setup, benefit configuration, renewals, and self-funded/ASO arrangements.
- Individual & Family — on- and off-exchange ACA plans, open enrollment, and member onboarding.
What You Bring
Required:
- Bachelor's degree in Business Administration, Finance, Computer Science, Healthcare Administration, or a related field.
- 10+ years of Business Analyst experience, with substantial healthcare payer/health plan experience preferred.
- Experience across one or more lines of business: Medicare, Medicaid, Employer Group/Commercial, or Individual/ACA.
- Strong analytical skills — able to gather, organize, and synthesize information with attention to detail.
- Excellent written and verbal communication; comfortable presenting to teams and management.
- Experience documenting requirements, use cases, test cases, and success criteria.
- Proficiency in Microsoft Office — Excel and PowerPoint.
- Experience with JIRA, Confluence, Azure DevOps, and Visio.
- Ability to manage multiple priorities and work both independently and across teams.
Preferred
- Working knowledge of SQL for data review and validation.
- Awareness of healthcare regulations (HIPAA, CMS, NCQA, state Medicaid).
- Experience working with vendor-delivered or configurable platforms.
Core Competencies
- Clear communication and stakeholder collaboration.
- Structured, detail-oriented analysis and documentation.
- Comfort working across business and technical teams.
- Ownership and follow-through from requirement to delivery.
- Ability to lead workstreams and guide less-experienced analysts.
