Business Analyst - Provider Management

Job Overview:

We are seeking an experienced and domain-savvy Business Analyst / Senior Business Analyst / Implementation Specialist to join our team focused on Provider Network Management transformation. This role is ideal for professionals with deep expertise in provider lifecycle operations and hands-on experience implementing provider management platforms, particularly within the insurance or TPA domain across the APAC region.

You will work closely with cross-functional stakeholders-product, tech, operations, and client teams-to ensure successful implementation and adoption of our next-generation provider management solutions.

Key Responsibilities:

- Lead requirement gathering, gap analysis, and functional design for provider management system implementations.

- Act as the domain expert on provider onboarding, contracting, credentialing, tariff management, performance monitoring, and compliance workflows.

- Collaborate with insurer or TPA clients to understand current-state processes and design future-state solutions.

- Translate business needs into functional requirements, user stories, and workflows in coordination with product and tech teams.

- Support UAT planning, configuration guidance, and rollout coordination for successful go-lives.

- Conduct discovery workshops, working sessions, and walkthroughs with APAC-region clients.

- Identify process improvement opportunities and actively contribute to platform enhancements.

Ideal Candidate Profile:

- 4-8 years of experience in insurance, TPA, or IT consulting with direct involvement in provider management system implementations.

- Strong understanding of provider lifecycle workflows: onboarding, credentialing, contract & tariff management, and regulatory reporting.

- Proven experience working with health or life insurance providers in APAC markets, including local operational and compliance nuances.

- Comfortable engaging with cross-functional teams and clients at all levels-business, tech, and operations.

Ability to document business requirements clearly and drive solution alignment through workshops and demos.

Preferred Experience:

Hands-on experience with provider systems like HealthEdge, Facets, LifeAsia, or custom-built platforms.

Exposure to claims, pre-authorization, or provider fraud monitoring is a plus.

Strong facilitation, communication, and presentation skills.