Our client is a US-based company specializing in advanced solutions for health plans. Their platform helps both new and established Medicare and Medicaid programs scale efficiently by improving staff productivity, streamlining processes, and reducing operational costs.
The company offers flexible solutions through SaaS (Software as a Service) and BPaaS (Business Process as a Service), enabling health plans to optimize operations, enhance member experiences, and maintain compliance with industry regulations.
We are looking for a Business Analyst to support Subject Matter Experts (SMEs), allowing them to focus on new client initiatives and strategic projects. In this role, you will analyze business processes, gather and document requirements, and collaborate with business and technical teams to ensure effective implementation of solutions.
Project Duration: 6+ months
Working Hours: US time zone
English Level: B2 or higher (conversational English required)
Responsibilities- Gather, analyze, and document business requirements and functional specifications.
- Analyze business processes and workflows to identify gaps and opportunities for improvement.
- Collaborate with SMEs, business stakeholders, developers, and QA engineers to ensure a clear understanding of requirements.
- Develop workflow documentation and functional specifications.
- Create test scenarios and support User Acceptance Testing (UAT).
- Validate implemented solutions against business requirements.
- Support business process analysis related to claims, enrollment, provider management, authorizations, and configuration.
- 5+ years of experience working as a Business Analyst.
- Experience in the healthcare payer or health insurance industry.
- Knowledge of Medicare and/or Medicaid processes.
- Experience with requirements gathering, documentation, workflow analysis, and gap analysis.
- Ability to translate business needs into clear functional requirements.
- Experience developing test scenarios and supporting UAT.
- Strong analytical, communication, and problem-solving skills.
- Willingness to work according to US business hours.
- Experience working on healthcare projects.
- Experience writing SQL queries and performing data analysis.
- Expertise in claims, enrollment, provider management, authorizations, or configuration.
- Experience supporting software implementations and process improvements.
Skills Required
- Experience working as a Business Analyst
- Experience in the healthcare payer or health insurance industry
- Knowledge of Medicare and/or Medicaid processes
- Experience with requirements gathering, documentation, workflow analysis, and gap analysis
- Ability to translate business needs into clear functional requirements
- Experience developing test scenarios and supporting User Acceptance Testing
- Strong analytical, communication, and problem-solving skills
- Willingness to work according to US business hours
- Experience writing SQL queries and performing data analysis
- Expertise in claims, enrollment, provider management, authorizations, or configuration
- Experience supporting software implementations and process improvements
What We Do
Founded in 2015, Helpware is a company taking a modern approach to the outsourcing industry. We created the company to change perceptions of what outsourcing is and can be, and we did that by building amazing cultures in each of our locations, and by simply treating our employees better. With Helpware, we are all a team and family, and you'll see that true difference when partnering with us. Helpware builds customized teams in Customer Service and Back Office for industry-leading startups and modern companies. With offices in California, Colorado, Kentucky, Ukraine, Philippines, Germany, and Mexico, we have the global scale to tailor custom teams and processes for success to our many powerhouse clients. Helpware has grown over the years, initially catering to startup client partners, and has now evolved into creating client partnerships with large enterprises as well.
