COB Operations Strategy Analyst | AI-Driven Process Lead

Quantum Technologies. LLC; Washington; On-site; USD 90,000 - 140,000; Full time

Job summary

Quantum Technologies LLC seeks a business analyst to serve as a Subject Matter Expert for Coordination of Benefits operations, payer enrollment, primacy, and eligibility workflows in the US market. You will drive governance, document regulatory mappings, and guide future COB capabilities alongside executives and product partners.

Responsibilities include leading workshops, analyzing current processes, and detailing epics, features, and acceptance criteria while leveraging Generative AI tools to

Qualifications

• Current-state and future-state assessments.
• Facilitate business process modeling, gap analysis, and impact assessments.
• Translate complex business requirements into epics, features, and detailed user stories.

Responsibilities

• Act as SME for COB operations, payer enrollment, primacy, overlap management, and member eligibility workflows.
• Lead workshops with payer ops, business users, product owners, and executives.
• Analyze and rationalize COB processes and workflows.
• Interpret NAIC COB guidelines, MSP rules, Medicaid regulations, and state COB requirements.
• Drive governance and traceability from regulations to platform implementation.
• Define future-state capabilities for modern COB ecosystems.
• Define MVP scope and release-level business priorities.

Skills

Process modeling

Gap analysis

User stories

SDLC governance

AI-assisted analysis

Tools

ChatGPT

Claude

Copilot

Gemini

Job description

Quantum Technologies LLC seeks a business analyst to serve as a Subject Matter Expert for Coordination of Benefits operations, payer enrollment, primacy, and eligibility workflows in the US market. You will drive governance, document regulatory mappings, and guide future COB capabilities alongside executives and product partners.

Responsibilities include leading workshops, analyzing current processes, and detailing epics, features, and acceptance criteria while leveraging Generative AI tools to