Sr. Business Analyst

Overview

Role: Sr. Specialist - Business Analyst

YOE: 10 to 12 Years

Location: Chennai, Bangalore, Hyderabad, Mumbai, Pune

About The Job

We are seeking a Sr. Specialist - Business Analyst with strong expertise in the Medicaid healthcare domain. This individual contributor role requires deep functional knowledge across Provider, Claims, and/or Financials modules within healthcare systems. You will lead complex requirement discovery, drive end-to-end functional analysis, and translate business needs into clear, testable specifications while ensuring alignment with Medicaid regulations and payer standards.

What You Will Do

• Lead requirement elicitation workshops with business and technical stakeholders for Medicaid programs and workflows.
• Own end-to-end functional analysis for Provider, Claims, or Financials modules, including current-state and future-state process definitions.
• Create and govern high-quality documentation: BRDs, FRDs, user stories, epics, acceptance criteria, process flows, and traceability matrices.
• Partner with Product Owners, Architects, and Engineering teams to clarify requirements, resolve ambiguities, and support solution design decisions.
• Drive backlog refinement, sprint planning support, and ensure readiness of user stories for development and testing.
• Lead UAT planning and execution support, including test scenario review, defect triage, and business sign-offs.
• Perform impact assessments for enhancements/releases, including upstream/downstream dependencies, data implications, and regulatory considerations.
• Support data validation and interoperability initiatives by collaborating on data mapping, field-level definitions, and integration touchpoints (as applicable).
• Act as a functional SME in cross-functional discussions, providing guidance without people-management responsibilities.
  
  

• 10-12 years of Business Analyst experience, with significant experience in the Medicaid healthcare domain.
• Strong hands-on exposure to Provider, Claims, and/or Financials modules and related Medicaid workflows.
• Proven experience working in Agile environments and collaborating with cross-functional delivery teams.
• Preferred certifications: Agile (CSM/PSM), Business Analysis (CBAP/CCBA), or Health Informatics (CAHIMS/CPHIMS).
  
  

Job Requirements and Qualifications

• Requirements & documentation: BRDs, FRDs, epics, user stories, acceptance criteria, RTM, process flows (BPMN/UML preferred).
• Agile tools: JIRA, Rally, Trello; documentation collaboration: Confluence; diagramming: Visio.
• Healthcare standards & regulations: HL7, FHIR, ICD-10, SNOMED CT; regulatory frameworks including HIPAA and CMS.
• Medicaid / payer landscape: State Medicaid systems, MMIS modernization, payer interoperability initiatives.
• Additional skills aligned to senior experience (preferred): data mapping/validation, basic SQL for analysis, and API/integration requirement articulation for interoperability use cases.
  
  

• Strong analytical thinking, problem-solving, and structured decision-making.
• Excellent stakeholder communication with the ability to simplify complex concepts into clear documentation.
• High attention to detail, strong ownership, and ability to manage multiple priorities in fast-paced delivery environments.
• Collaborative approach with confidence to challenge assumptions and drive clarity across teams.