Business Analyst- Healthcare Claims

This Business Analyst position is specifically focused on claims operations , including claims processing, benefit reviews, and system configuration. The role is responsible for gathering and documenting internal and client-facing workflows tied to claims administration and benefit delivery. The analyst will review system configuration for alignment with contract and program requirements—including claims setup, pricing, benefits, and UAT outcomes—and will work closely with subject matter experts and leadership to translate operational concepts into clear documentation, process maps, and support materials. Additional responsibilities include reviewing benefit policies and procedures for accuracy and documenting necessary updates. Key Responsibilities: Meet with clients to gather operational and functional requirements, document processes, dependencies, and decision points in real time. Review system configuration to ensure they are meeting contract or program requirements. This may include claims, pricing, system configuration, UAT results and benefits. Review benefit policy and procedure documents for accuracy and incorporate updates into requirements documentation Collaborate with proposal teams to develop storyboards and solution frameworks aligned to government RFPs and program requirements. Participate in internal kickoff meetings, brainstorming sessions, and review cycles to refine solution narratives and ensure alignment with client objectives. Contribute to the development of SOPs, internal playbooks, staffing models, and other pre- and post-award materials. Serve as the central point of contact for assigned projects—facilitating communication between clients, internal teams, and vendors. Assist with the development of SOPs, internal playbooks, and proposal content as needed to support contract growth or onboarding. Support general administration and compliance oversight, including reporting, and quality control.