Healthcare Claims Research Business Analyst

Healthcare Claims Research Business Analyst

Location: Remote

Duration: 6 Months



Interview: Virtual round

Position Summary

The Healthcare Claims Research Business Analyst will support Trial Claim Messaging Development by translating per-service trial claim outcomes into clear, accurate, and actionable messaging for providers, members, and internal users. This role will partner closely with business, operations, product, legal, compliance, customer experience, and technology teams to design, document, test, and implement messaging that improves transparency, reduces confusion, and enhances the overall claim-processing experience.

The Business Analyst will serve as a subject matter expert for claim communications, ensuring messaging aligns with business rules, regulatory requirements, and enterprise communication standards while supporting digital transformation and automation initiatives.

Required Qualifications

• Bachelor's degree in Business, Healthcare Administration, Information Systems, Communications, or a related field.
• 3+ years of experience in business analysis, healthcare operations, claims, benefits, communications, or related disciplines.
• Experience gathering, analyzing, and documenting business requirements.
• Experience developing requirements documents, user stories, process flows, or similar business analysis artifacts.
• Strong analytical and problem-solving skills.
• Excellent written and verbal communication skills.
• Strong stakeholder management and cross-functional collaboration skills.
• Ability to manage multiple initiatives, priorities, and stakeholders simultaneously.
• Proficiency with Microsoft Office applications, including Excel, PowerPoint, Word, and Visio .
• Ability to translate complex business rules and processes into clear, understandable requirements and communications.

• Experience with healthcare claims, benefits, or payer operations.
• Experience developing provider or member-facing communications.
• Experience working with legal, compliance, and regulatory stakeholders.
• Experience with claims systems, trial claims, or claims adjudication processes.
• Experience supporting digital transformation, automation, or product development initiatives.
• Familiarity with Agile methodologies, user stories, and product development processes.