Position: Insurance Business Analyst (US Benefits)
Location
Remote
Type:- Contract
Experience: 8+ years preferred
Job Description
We are looking for an experienced Business Analyst with US Insurance / Benefits Administration domain expertise to gather requirements, define functional specifications, and coordinate with business and technical teams.
Key Responsibilities
- Lead requirements gathering and solution design for US benefits administration, including health and welfare plans, open enrollment, life events, eligibility rules, and carrier integrations.
- Translate regulatory requirements (ACA, COBRA, HIPAA, ERISA) into functional specifications, user stories, and configuration requirements.
- Coordinate with clients, onshore stakeholders, offshore delivery teams, QA, and configuration teams.
- Manage priorities, scope, UAT feedback, and stakeholder communication.
- Mentor Business Analysts, review deliverables, and drive process improvements.
Required Skills
- Strong experience in US Benefits Administration or US Health Insurance / Payer domain.
- Knowledge of eligibility, enrolment workflows, plan structures, claims basics, and HIPAA compliance.
- Familiarity with 834 EDI files and carrier integrations.
- Strong requirements documentation, stakeholder management, and UAT skills.
- Experience with ACA, COBRA, HIPAA, and ERISA regulations.