Company: Anoud Technologies

Role: Business Analyst (Medical Insurance / Healthcare Payer)

Experience: 6 - 10 years

Location: Chennai

Work Mode: Work From Office (WFO)

Employment Type: Full-time, Permanent

About the Role: Anoud Technologies is looking for an experienced Business Analyst with strong medical insurance domain knowledge. You will work with business stakeholders, product owners, and engineering teams to turn insurance business needs into clear requirements and deliver solutions across policy, claims, enrollment, and provider workflows.

Key Responsibilities:

- Elicit, analyze, and document business requirements (BRD, FRD, SRS, user stories, acceptance criteria) for medical insurance platforms.

- Work with stakeholders from underwriting, claims, enrollment, billing, customer service, and provider network teams.

- Analyze and document the end-to-end insurance lifecycle: quote, enrollment, policy issuance, endorsements, renewals, claims, and settlement.

- Map as-is and to-be processes, identify gaps, and recommend improvements.

- Prepare process flows, wireframes, data mapping documents, and traceability matrices.

- Run requirement walkthroughs, backlog grooming, and sprint planning sessions in an Agile/Scrum environment.

- Support UAT: write test scenarios, validate test cases, and manage defect triage with QA and developers.

- Analyze claims, policy, and member data using SQL to support decisions and validate outcomes.

- Make sure solutions meet regulatory and compliance requirements (HIPAA / IRDAI, as applicable).

- Manage change requests and communicate status, risks, and dependencies to stakeholders.

- Support integrations with TPAs, hospitals, clearinghouses, and third-party systems.

Required Skills and Qualifications:

- Bachelor's degree in engineering, Computer Science, Commerce, or a related field (MBA is a plus).

- 6 - 10 years of experience as a Business Analyst, with at least 4 years in medical/health insurance.

- Hands-on knowledge of claims adjudication, policy administration, enrollment, member/provider management, and benefits configuration.

- Strong requirements engineering skills: BRD/FRD, user stories, use cases, process modeling (BPMN/UML).

- Experience with Agile/Scrum and tools such as JIRA, Confluence, and Azure DevOps.

- Working SQL skills for data analysis and validation.

- Experience with wireframing/prototyping tools (Figma, Balsamiq, or similar).

- Excellent communication, stakeholder management, and documentation skills.

Preferred Skills:

- Knowledge of healthcare standards: ICD-10, CPT, HCPCS, HL7, FHIR.

- Familiarity with EDI transactions (834, 837, 835, 270/271, 276/277).

- Exposure to platforms such as Facets, QNXT, HealthEdge, Guidewire, or similar.

- Understanding of cashless vs. reimbursement claims, pre-authorization, TPA workflows, and fraud/waste/abuse detection.

- Certifications: CBAP, PMI-PBA, CSPO/PSM, or AHIP/insurance domain certifications.

- Experience with Power BI/Tableau and API/integration analysis.

Work Details:

- Location: Chennai (Work From Office, 5 days a week)

- Notice Period Preference: Immediate to 30 days