3 - 5 Years
n1 Opening
n Pune
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Job Summary: We are seeking an experienced Business Analyst specializing within the US Healthcare enrollment domain. The ideal candidate will be responsible for troubleshooting and resolving complex issues related to healthcare enrollment systems, acting as a bridge between technical teams and business stakeholders to ensure seamless operations and continuous improvement.
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nKey Responsibilities:
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n- Issue Resolution:
n- Provide L2 support for healthcare enrollment systems, managing and resolving complex issues related to member enrollment, eligibility, and data integration.
n- Investigate, analyze, and troubleshoot issues in enrollment processes, ensuring timely and accurate resolution.
n- Collaborate with L1 support teams to escalate and address unresolved issues, providing technical guidance as needed.
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- Stakeholder Communication:
n- Act as a liaison between technical teams, business stakeholders, and end-users, translating technical issues into business terms and vice versa.
n- Provide regular updates on issue status, resolution timelines, and any potential impacts to stakeholders.
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- System Monitoring & Maintenance:
n- Monitor enrollment systems and processes to identify and proactively address potential issues before they impact business operations.
n- Ensure that enrollment data integrity and system performance meet established SLAs.
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- Process Improvement:
n- Identify recurring issues and recommend enhancements or changes to enrollment processes, workflows, or systems to prevent future occurrences.
n- Work with cross-functional teams to implement and test improvements, ensuring they align with business objectives.
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- Documentation & Training:
n- Maintain up-to-date documentation on issue resolution processes, system changes, and best practices.
n- Train and mentor L1 support staff on enrollment-related issues, troubleshooting techniques, and system functionality.
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- Compliance & Reporting:
n- Ensure all enrollment processes comply with relevant healthcare regulations, including HIPAA and ACA guidelines.
n- Generate and analyze reports related to enrollment issues, trends, and system performance to inform management decisions.
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Qualifications:
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n- Education:
n- Bachelor's degree in Business Administration, Healthcare Management, Information Technology, or related field.
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- Experience:
n- 3+ years of experience in a Business Analyst within the US Healthcare industry, with a focus on enrollment processes.
n- Strong understanding of healthcare enrollment systems, eligibility rules, and data integration.
n- Experience with EDI transactions, particularly 834 enrollment files, is a plus.
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- Skills:
n- Strong problem-solving and analytical skills with attention to detail.
n- Excellent communication and interpersonal skills, with the ability to explain complex concepts to non-technical stakeholders.
n- Ability to work independently and in a team environment, managing multiple priorities in a fast-paced setting.
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Preferred Qualifications:
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n- Experience with US healthcare enrollment platforms is highly desirable.
n- Knowledge of regulatory requirements in US healthcare, including HIPAA and ACA.
n- Certification in healthcare-related disciplines or BA certifications like CSPO.
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Business Analysis,US Healthcare,Enrollment
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UST is a global digital transformation solutions provider. For more than 20 years, UST has worked side by side with the world's best companies to make a real impact through transformation. Powered by technology, inspired by people and led by purpose, UST partners with their clients from design to operation. With deep domain expertise and a future-proof philosophy, UST embeds innovation and agility into their clients organizations. With over 30,000 employees in 30 countries, UST builds for boundless impacttouching billions of lives in the process.
