Business Analyst

Carelon Global Solutions; Gurugram District, Bengaluru; Hybrid; INR 900,000 - 1,500,000; Full time

Job summary

Carelon Global Solutions in Gurugram is seeking a Business Analyst to elicit and document business and data requirements for the US Healthcare domain. You will prepare BRDs, functional and data requirement documents, and support data validation with analytics teams.

You will translate business needs into data definitions, collaborate with data engineering and reporting teams, and support UAT and data quality efforts while ensuring HIPAA compliance.

Qualifications

• 3+ years of experience as a Business Analyst / Business Systems Analyst in the US Healthcare industry.
• Strong SQL skills for data analysis, validation, and requirement confirmation (Snowflake or similar platforms).
• Experience with health insurance data including claims adjudication, eligibility/enrollment, provider data, and clinical data.

Responsibilities

• Engage with business stakeholders to elicit, analyze, and document business and data requirements within the US Healthcare domain.
• Prepare and maintain BRDs, functional requirements, data requirement documents, and supporting artifacts.
• Perform data analysis using SQL to validate requirements, analyze source data, and support business questions.
• Analyze healthcare claims data to identify trends, data gaps, anomalies, and improvement opportunities.
• Translate business needs into clear data requirements, including field definitions, logic, transformations, and business rules.
• Work closely with data engineering, reporting, and analytics teams to ensure accurate implementation of requirements.
• Support UAT, data validation, and reconciliation by validating outputs against business rules and source data.
• Ensure data quality, consistency, and HIPAA compliance; provide explanations of data outputs to business users.

Skills

SQL

Stakeholder communication

Data analysis

Tools

Snowflake

Job description

Role & responsibilities

• Engage with business stakeholders to elicit, analyze, and document business and data requirements within the US Healthcare domain.
• Prepare and maintain Business Requirement Documents (BRDs), functional requirements, data requirement documents, and supporting artifacts.
• Perform data analysis using strong SQL (Snowflake or similar platforms) to validate requirements, analyze source data, and support business questions.
• Analyze healthcare claims data (medical, pharmacy, eligibility, provider) to identify trends, data gaps, anomalies, and improvement opportunities.
• Translate business needs into clear data requirements, including field definitions, logic, transformations, and business rules.
• Work closely with data engineering, reporting, and analytics teams to ensure accurate implementation of business and data requirements.
• Support UAT, data validation, and reconciliation by validating outputs against business rules and source data.
• Ensure data quality, consistency, and compliance with healthcare regulations and standards, including HIPAA.
• Provide explanations and walkthroughs of data outputs and metrics to business users to support informed decisionmaking.
• Act as a key liaison between business and technology teams to ensure alignment and timely delivery.

Preferred candidate profile

• 3+ years of experience as a Business Analyst / Business Systems Analyst in the US Healthcare industry.
• Strong experience working with health insurance data, including any of them:
• Claims adjudication
• Eligibility and enrollment
• Provider data
• Clinical data
• Strong SQL skills for data analysis, validation, and requirement confirmation (Snowflake or similar data platforms).
• Proven experience in requirement analysis and BRD preparation, with the ability to clearly articulate business and data needs.
• Strong analytical, problemsolving, and communication skills, with the ability to interact effectively with both business and technical stakeholders.