Sr Business Analyst - Provider Domain

Sr Business Analyst - Provider DomainThe Infosys Healthcare unit is dedicated to transforming the healthcare industry by leveraging cutting-edge AI-driven solutions to simplify complexities and enhance patient experiences. We focus on creating connected ecosystems, optimizing operations, and delivering superior care across all touchpoints. Join us to be a part of a team that is at the forefront of healthcare innovation, driving down costs while improving patient outcomes.Job DescriptionIn the assigned Job Role of Domain Consultant 2, your Area Of Responsibility will be as below:Analyze client business processes to identify optimization opportunities and align them with industry-specific standards and best practicesFacilitate benchmarking studies, working with stakeholders to align solution performance with industry standards and domain-specific insightsCollaborate with technical teams and document system customizations and configurations, drafting standard operating procedures and workflows that align with functional requirements of the relevant sectorConduct in-depth research on third-party products within the domain, providing comparative analysis of features, costs, and scalabilityCoordinate the implementation of solutions addressing issues during setup and integration, and support in developing and maintaining SOPs, to ensure system stability and performance post-implementationYour contribution to the team:A collaborative spirit and excellent communication skills.Strong analytical and coordination skills with a focus on process optimizationA knack for creating detailed process maps and technical documentation with domain specializationProactive approach to in conducting benchmarking studies and product researchFamiliarity with system implementation, configuration, and maintenanceEffective collaboration and communication abilities with cross-functional teamsRequired Skill and ExperienceLead requirements elicitation, analysis, documentation, validation, and stakeholder walkthroughs for healthcare payer/provider initiatives.Work with business stakeholders to develop business requirements, functional requirements, process flows, use cases, user stories, acceptance criteria, and data mappings.Analyze end-to-end provider lifecycle processes, including provider onboarding, credentialing, contracting, network participation, directory management, demographic updates, and termination.Support requirements involving Provider Network Management, Provider Data Management, Claims, Member–Provider relationships, and reimbursement processes.Conduct gap analysis, impact analysis, root-cause analysis, and current-state/future-state process assessment.Collaborate with Product Owners, SMEs, architects, developers, QA teams, and business users throughout the SDLC.Facilitate workshops, requirement review sessions, backlog refinement, sprint planning, and UAT activities.Analyze healthcare data and business rules across upstream and downstream systems and identify data-quality or integration issues.Ensure solutions align with healthcare business rules, regulatory requirements, and operational objectives.Preferred Skill and ExperienceBusiness Analysis experience, preferably with significant experience in the US Healthcare industry.Strong knowledge of Healthcare Payer and Provider business processes.Good understanding of Provider Lifecycle, Provider Network, Credentialing, Contracting, Provider Directory, Claims, and Reimbursement.Experience working with provider demographic, specialty, taxonomy, affiliation, network, contract, and credentialing data.Knowledge of healthcare standards and concepts such as NPI, taxonomy codes, ICD-10, CPT/HCPCS, HIPAA, X12 EDI, and HL7/FHIR.Understanding of healthcare transactions such as 837 Claims, 835 Remittance, 270/271 Eligibility, and 276/277 Claim Status is desirable.Strong experience creating BRDs/FRDs, user stories, acceptance criteria, workflows, process diagrams, data mappings, and traceability documentation.Experience working in Agile/Scrum delivery environments and tools such as Jira or Azure DevOps.Strong analytical, problem-solving, stakeholder-management, facilitation, and communication skills.Additional Required QualificationsBachelor's degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of education.This position may require relocation and/or travel to work/project location.Candidates authorized to work for any employer in the United States without employer-based visa sponsorship are welcome to apply. Infosys is unable to provide immigration sponsorship for this role now or in the future.EEO/About UsBenefitsAlong with competitive pay, as a full-time Infosys employee you are also eligible for the following benefits:Medical/Dental/Vision/Life InsuranceLong-term/Short-term DisabilityHealth and Dependent Care Reimbursement AccountsInsurance (Accident, Critical Illness, Hospital Indemnity, Legal)401(k) plan and contributions dependent on salary levelPaid holidays plus Paid Time OffAbout UsInfosys is a global leader in next-generation digital services and consulting. We enable clients in more than 50 countries to navigate their digital transformation. With over four decades of experience in managing the systems and workings of global enterprises, we expertly steer our clients through their digital journey. We do it by enabling the enterprise with an AI-powered core that helps prioritize the execution of change. We also empower the business with agile digital at scale to deliver unprecedented levels of performance and customer delight. Our always-on learning agenda drives their continuous improvement through building and transferring digital skills, expertise, and ideas from our innovation ecosystem.EEOInfosys provides equal employment opportunities to applicants and employees without regard to race; color; sex; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; status as a protected veteran or spouse/family member of a protected veteran; or disability.