Experience: 2+ years

Qualification: This is a professional position, and as such, we require, at minimum, a Bachelor’s degree in computer science, computer information systems, information technology, or a combination of education and experience equating to the U.S. equivalent of a Bachelor’s degree in one of the aforementioned subjects.

Key Responsibilities:

• Analyze complex healthcare and financial datasets to generate actionable insights, reports, and dashboards.
• Lead end-to-end business analysis and technical specification for data integration, business intelligence, and enterprise-wide reporting initiatives.
• Work closely with stakeholders to gather, document, and validate functional and business requirements.
• Design and develop interactive dashboards and visualizations using Tableau, SAP Business Objects, and OpenText BI.
• Perform data modeling using normalized (3NF) and dimensional (star/snowflake) schemas, and define data architecture using DFDs.
• Define and implement requirements for premium billing, contribution accounting, payment reconciliation, and financial adjustments.
• Develop BRDs, FRDs, RTMs, test plans, and UAT cases to support software delivery and quality assurance.
• Collaborate with cross-functional teams across product, QA, and development to support claims processing and adjudication.
• Manage structured healthcare data and regulatory compliance processes, including HIPAA, EDI 834/837 transactions, and URAC standards.
• Design middleware integrations using Web Services (SOAP/WSDL) and REST APIs with data in JSON/XML formats.
• Conduct data validation, test case execution, and defect tracking to ensure high-quality software delivery.
• Lead Agile sprint ceremonies (planning, stand-ups, retrospectives) and maintain artifacts in JIRA, Confluence, and SharePoint.
• Support DevOps-aligned task management, ensuring deliverables meet timelines and business expectations.
• Present data insights, trends, and recommendations to internal stakeholders and executive teams.