Senior Business Analyst

Helpware; United States; Remote; USD 80,000 - 120,000; Full time

Job summary

Helpware Inc. is seeking a seasoned Business Analyst to support SMEs and drive strategic projects for US health plans.

You will gather and document requirements, analyze processes, translate business needs into functional specs, and collaborate with developers and QA to ensure successful implementations. The role focuses on claims, enrollment, provider management, and configurations, with a 6+ month project window and US hours.

Qualifications

• Gather, analyze, and document business requirements and functional specifications.
• Analyze business processes and workflows to identify gaps and opportunities for improvement.
• Collaborate with SMEs, business stakeholders, developers, and QA engineers to ensure a clear understanding of requirements.
• Develop workflow documentation and functional specifications.
• Create test scenarios and support User Acceptance Testing (UAT).
• Validate implemented solutions against business requirements.
• Support business process analysis related to claims, enrollment, provider management, authorizations, and configuration.

Responsibilities

• Gather, analyze, and document business requirements and specs.
• Analyze processes to identify gaps and improvement opportunities.
• Collaborate with SMEs, stakeholders, developers, and QA to clarify requirements.
• Create test scenarios and support UAT.
• Validate solutions against business requirements.

Skills

Analytical thinking

Communication

Problem-solving

Requirements gathering

Gap analysis

UAT support

Healthcare domain knowledge

SQL knowledge

Tools

SQL

Job description

Our client is a US-based company specializing in advanced solutions for health plans. Their platform helps both new and established Medicare and Medicaid programs scale efficiently by improving staff productivity, streamlining processes, and reducing operational costs.

The company offers flexible solutions through SaaS (Software as a Service) and BPaaS (Business Process as a Service), enabling health plans to optimize operations, enhance member experiences, and maintain compliance with industry regulations.

We are looking for a Business Analyst to support Subject Matter Experts (SMEs), allowing them to focus on new client initiatives and strategic projects. In this role, you will analyze business processes, gather and document requirements, and collaborate with business and technical teams to ensure effective implementation of solutions.

Project Duration: 6+ months

Working Hours: US time zone

English Level: B2 or higher (conversational English required)

Responsibilities

• Gather, analyze, and document business requirements and functional specifications.
• Analyze business processes and workflows to identify gaps and opportunities for improvement.
• Collaborate with SMEs, business stakeholders, developers, and QA engineers to ensure a clear understanding of requirements.
• Develop workflow documentation and functional specifications.
• Create test scenarios and support User Acceptance Testing (UAT).
• Validate implemented solutions against business requirements.
• Support business process analysis related to claims, enrollment, provider management, authorizations, and configuration.

Requirements

• 5+ years of experience working as a Business Analyst.
• Experience in the healthcare payer or health insurance industry.
• Knowledge of Medicare and/or Medicaid processes.
• Experience with requirements gathering, documentation, workflow analysis, and gap analysis.
• Ability to translate business needs into clear functional requirements.
• Experience developing test scenarios and supporting UAT.
• Strong analytical, communication, and problem-solving skills.
• Willingness to work according to US business hours.
• Experience working on healthcare projects.
• Experience writing SQL queries and performing data analysis.
• Expertise in claims, enrollment, provider management, authorizations, or configuration.
• Experience supporting software implementations and process improvements.