Healthcare Business Analyst

Quadlight Corp.; Charlotte (NC); Hybrid; USD 90,000 - 130,000; Full time

Job summary

Quadlight Corp seeks a Healthcare Business Analyst with strong Medicare knowledge to join our team. The role focuses on eligibility file processing, system configuration, and process automation, with a weekly onsite requirement for local candidates in Charlotte, NC.

The analyst will collaborate across technical, operations and client teams to gather, document, and validate requirements, design UX-informed solutions, and ensure regulatory alignment in government healthcare insurance.

Qualifications

• Experience with Medicare MA, MAPD and PDP programs.
• Experience with employer group plans and eligibility workflows.
• Ability to write detailed system configuration requirements and specifications.
• Proven ability to collaborate with technical, operations and client teams.

Responsibilities

• Operational Analysis: study business functions to define objectives and formats.
• Modeling: participate in data, process and solution modeling activities.
• System Design: document software solutions, diagrams and specifications.
• System Improvement: design modifications to improve current practices.
• Controls and Procedures: propose and document improved procedures.
• Testing & Documentation: develop tests and maintain user guides.
• Technical Reporting: collect and summarize information and trends.
• Root Cause Analysis: identify issues and articulate business needs.
• Industry Awareness: stay updated on government healthcare insurance trends.

Skills

Analytical thinking

Problem solving

Communication

Documentation

UX design principles

Wireframes

Data modeling

Process modeling

Cross-functional collaboration

UI for automation

Tools

UI for automation

Job description

Quadlight Corp is Seeking a Healthcare Business Analyst to Join Our Team

Location: Charlotte, NC (Fully Remote, with Onsite Requirement for Local Candidates)
Duration: 6 months

Position Overview:

Quadlight Corp is seeking an experienced Healthcare Business Analyst with a strong background in Medicare (MA, MAPD, PDP) and expertise in employer group plans.

This is a 6 month contract role, fully remote, but candidates local to Charlotte, NC (within a 20-30 mile radius) will be required to come onsite once a week.

The ideal candidate will possess experience in eligibility file processing, system configuration, and process automation strategies. A deep understanding of UX design principles and the ability to collaborate cross-functionally with technical, operations, and client teams is also essential.

Industry Expertise:

• Strong background in Medicare (MA, MAPD, PDP) within both individual and employer group plans.
• Experience with employer eligibility file processing implementations.

Technical Skills:

• Proficiency in writing detailed system configuration requirements and defining process automation strategies.
• Ability to collaborate with development teams to enable additional system configurations via UI for automation.

UX and Design:

• Familiarity with high-level UX design principles.
• Experience in creating wireframes and markup diagrams to support system design discussions.

Cross-Functional Collaboration:

• Demonstrated ability to work effectively with technical, operations, and client teams to gather, document, and validate requirements.

Preferred Experience:

• Knowledge of eligibility processing workflows and file structures in the Medicare or employer group plan space.
• Experience implementing solutions that align with compliance requirements and industry standards.

Soft Skills:

• Strong analytical and problem-solving abilities.
• Excellent communication and documentation skills to articulate complex concepts clearly and concisely.

Essential Duties and Responsibilities:

• Operational Analysis: Determine operational objectives by studying business functions; gathering information; evaluating output requirements and formats.
• Modeling: Initiate, participate in, and facilitate data modeling, process modeling, and solution modeling.
• System Design: Design and document software solutions by analyzing requirements; constructing workflow charts and diagrams; studying system capabilities; and writing specifications as needed.
• System Improvement: Improve systems by studying current practices and designing modifications.
• Controls and Procedures: Recommend controls by identifying problems and writing improved procedures.
• Testing and Documentation: Develop testing scenarios and assist with user acceptance testing for system and process changes. Maintain user documentation and provide help desk support and training.
• Technical Reporting: Prepare technical reports by collecting, analyzing, and summarizing information and trends.
• Root Cause Analysis: Investigate service-related issues to identify root causes; identify and communicate business needs assessments as necessary.
• Industry Awareness: Stay updated on trends and issues in the government healthcare insurance space. Maintain professional knowledge through workshops, publications, and participation in professional societies.

Why Join Quadlight Corp?

At Quadlight Corp, we prioritize collaboration, innovation, and professional growth. Join a team that is passionate about healthcare solutions, and benefit from the flexibility of a remote work environment while contributing to impactful projects. We offer an inclusive, dynamic atmosphere where your expertise can thrive.