Senior Business Analyst/Business Analyst/Implementation Specialist - Healthcare Provider Management

Role : Senior Business Analyst / Business Analyst / Implementation Specialist - Healthcare Provider Management

Location : Mumbai / Pune

About the Role:

We are looking for an experienced and domain-savvy Senior Business Analyst / Business Analyst / Implementation Specialist to join our team focused on Provider Network Management transformation. This role is ideal for professionals with a deep understanding of Healthcare Provider Lifecycle Operations and hands-on experience in implementing provider management platforms, particularly within the insurance or TPA domain across the APAC market.

The Individual 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 solution.

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

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

Educational Qualification / Work Experience & Skills:

- PG / MBA / BE / B.Tech or Equivalent with 5 to 10 years of experience in insurance, TPA, or IT consulting with direct involvement in Healthcare Provider Management System Implementations.

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

- Proven experience working with health or life insurance providers in APAC markets, especially with 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.

- Experience working with or implementing Healthcare Provider Systems.

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

- Strong facilitation, communication, and presentation skills.