Business Analyst L3(Contract)

Wipro•Louisville, KY
•Onsite

About The Position

The purpose of this role is to perform initial business analysis and create basic process documents in line with defined guidelines to assist team members in understanding client requirements and supporting early-stage analysis and documentation activities. Role: Business Analyst (Healthcare Payer)

Requirements

  • Bachelor's degree in Business Administration, Healthcare Administration, Information Systems, or a related field.
  • Strong experience in healthcare payer operations and business analysis.
  • Deep understanding of healthcare payer functions, including: Enrollment and Eligibility, Claims Processing and Adjudication, Provider Network and Contract Management, Utilization Management, Care Management, Customer Service Operations, Payment Integrity, Appeals and Grievances.
  • Experience gathering and documenting business and functional requirements.
  • Strong analytical, communication, facilitation, and stakeholder management skills.
  • Experience working in Agile and Waterfall delivery environments.
  • HC - Payor
  • 3-5 Years of experience

Nice To Haves

  • Experience with Medicare, Medicaid, Commercial, and Dual-Eligible healthcare programs.
  • Knowledge of healthcare standards such as FHIR, HL7, EDI X12, HEDIS, STAR Ratings, and CMS regulations.
  • Experience supporting payer modernization, digital transformation, data management, analytics, or AI-enabled initiatives.
  • Familiarity with healthcare platforms such as Facets, QNXT, HealthRules, Epic, or related payer.

Responsibilities

  • Perform initial business analysis
  • Create basic process documents in line with defined guidelines
  • Assist team members in understanding client requirements
  • Support early-stage analysis and documentation activities

Benefits

  • Full range of medical and dental benefits options
  • Disability insurance
  • Paid time off (inclusive of sick leave)
  • Other paid and unpaid leave options
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