Business Analyst, Sr. - Healthcare
About the Company
Eliassen Group is recruiting for a client undertaking a large, multi-year health plan initiative. The project focuses on healthcare plan operations, including medical appeals, claims, and large-scale plan implementations.
About the Role
The Sr Business Analyst will support complex business and technology changes across healthcare plan operations. The role involves gathering, analyzing, documenting, and managing business and functional requirements while working closely with stakeholders and cross-functional teams to ensure solutions meet business needs. You will also support business readiness, implementation planning, training, and post-implementation reviews. The position requires substantial business analysis experience, healthcare domain knowledge, and the ability to manage requirements and communicate effectively in high-pressure environments.
Key Responsibilities
Elicit, analyze, document, and manage business and functional requirements for complex initiatives. Develop requirements approaches and management plans aligned with project plans. Communicate requirements to stakeholders and subject matter experts, validate their accuracy, and address questions or gaps. Maintain solution scope and requirements traceability throughout the project lifecycle. Lead business readiness activities, including communication planning for changes affecting technology, processes, and people. Coordinate training activities to support effective implementations and achieve intended outcomes. Develop procedures and specifications for system or process changes and coordinate implementation across functional teams. Design and conduct post-implementation audits and establish customer feedback mechanisms. Analyze workflows, design and test solutions, and assess the impact of changes on the organization. Manage requirements change requests and maintain accurate project documentation. Develop and maintain reporting tools to measure performance and support data integrity. Present findings, performance results, and recommendations to business stakeholders and leadership. Identify business risks, recommend mitigation strategies, and escalate issues when necessary. Build and maintain vendor relationships and assist with training as needed. Provide oversight and peer reviews for less experienced business analysts.
Required Qualifications
At least 5 years of related business analysis experience. Candidates without a degree must have at least 7 years of related experience. Experience in healthcare, health plan, insurance, or pharmaceutical environments. Hands-on exposure to medical appeals, claims, and large plan implementations. Strong communication and stakeholder management skills, including the ability to work effectively in high-pressure environments. Proficiency in industry-standard business analysis techniques, including data flow modeling, use-case analysis, workflow analysis, business process mapping, functional decomposition, and return on investment (ROI) modeling. Willingness and ability to work on a W-2 basis, as required by the client. Preferred Qualifications / Requirements A bachelor's degree or advanced degree is preferred. Salary & Benefits The hourly pay rate is $35–$40 per hour on a W-2 basis. W-2 consultants are offered the following benefits: Medical, dental, and vision coverage. A 401(k) plan with company matching. Life insurance. Work Arrangement Location: United States. Work arrangement: Fully remote.