Healthcare Business Analyst

Job Description

A leading healthcare payor is seeking a Business Analyst to support strategic Member Experience and Digital Transformation initiatives across Member Operations, Enrollment, Population Health Management, Care Management, Utilization Management, and Digital Strategy teams.

This individual will play a critical role in documenting business requirements, facilitating stakeholder collaboration, and helping create a more integrated and seamless member experience across communication channels, digital platforms, and operational processes.

The ideal candidate will bring strong healthcare business analysis experience, outstanding stakeholder management skills, and the ability to lead requirements gathering efforts for enterprise-wide initiatives focused on improving the member journey.

Responsibilities

• Lead business requirements gathering sessions with stakeholders across multiple healthcare business functions

• Create and maintain Business Requirements Documents (BRDs)

• Facilitate workshops, discovery sessions, and stakeholder meetings

• Analyze current-state and future-state business processes

• Identify operational gaps and integration opportunities across member-facing functions

• Document workflows, requirements, use cases, and process improvements

• Partner with digital, design, and operational teams to improve member engagement experiences

• Research industry trends, competitive offerings, and member experience best practices

• Collaborate with cross-functional teams to support modernization initiatives

• Create process flows and workflow diagrams using Visio or similar tools

Support initiatives aimed at delivering a unified and consistent member experience

Success Factors

• Strong facilitator who can confidently lead meetings and drive stakeholder alignment

• Innovative thinker who can identify opportunities beyond stated requirements

• Ability to connect information across multiple business functions

• Strong documentation discipline and attention to detail

• Comfortable navigating ambiguity and driving requirements to completion

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to View email address on click.appcast.io learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy:

Skills and Requirements

• 6+ years of Business Analyst experience

• 5+ years in the healthcare payor and/or medicaid/medicare space

• Strong requirements gathering and documentation experience

• Proven experience creating Business Requirements Documents (BRDs)

• Experience facilitating meetings with business stakeholders and leadership

• Process mapping and workflow documentation experience

• Strong communication, presentation, and organizational skills

• Ability to work independently in a highly visible role • Visio or similar process modeling tools

• Competitive research and business process improvement experience

• Experience supporting Member Experience or Customer Experience initiatives

• Knowledge of Population Health Management, Care Management, Utilization Management, or Member Operations

Digital transformation experience involving portals, mobile applications, or member communications