Senior Business Analyst (Healthcare Revenue Management & Data Integrity)

Accelyst is an innovative AI Consultancy that leverages AI-driven technology to deliver integrated solutions. They are seeking a highly experienced Senior Business Analyst to support strategic initiatives across Revenue Management and Data Integrity, acting as a liaison between business stakeholders and technical teams to ensure successful delivery of enterprise programs.

Responsibilities:

• Elicit, analyze, document, and validate business, functional, and system requirements
• Serve as the primary liaison between business stakeholders, operational teams, and technical teams
• Support strategic initiatives related to Revenue Management, Payment Integrity, Claims Processing, Provider Operations, Membership, and Financial Operations
• Perform data analysis, data validation, reconciliation, and root cause analysis to ensure data quality and integrity
• Develop Business Requirements Documents (BRDs), functional specifications, user stories, process flows, use cases, and supporting documentation
• Facilitate stakeholder meetings, requirements workshops, and solution design sessions
• Coordinate requirements management and change management processes throughout the project lifecycle
• Analyze existing business processes and identify opportunities for process improvement and operational efficiencies
• Support project planning activities including scope definition, impact assessments, risk identification, and solution evaluation
• Partner with business and IT teams to ensure requirements are accurately translated into technical solutions
• Support User Acceptance Testing (UAT), defect management, implementation, and post-production activities
• Develop training materials, knowledge transfer documents, and end-user support resources
• Lead or participate in cross-functional initiatives and mentor junior business analysts when necessary
• Evaluate the impact of proposed solutions on current and future operational environments
• Prepare reporting metrics, dashboards, and executive-level status updates
• Ensure project deliverables align with business goals and organizational standards
• Collaborate with project managers, architects, developers, QA teams, and operational stakeholders to ensure successful delivery

Requirements:

• Bachelor's degree in Business Administration, Information Systems, Healthcare Administration, Computer Science, or a related field, or equivalent experience
• 5+ years of Business Analyst experience supporting enterprise initiatives
• Experience working within healthcare payer, health insurance, managed care, or healthcare operations environments
• Strong experience supporting Revenue Management, Revenue Cycle, Payment Integrity, Claims Processing, Provider Operations, Membership, or Financial Operations initiatives
• Proven expertise in requirements gathering, documentation, stakeholder management, and process analysis
• Experience performing data analysis, reconciliation, validation, and data quality assessments
• Experience supporting full project lifecycle activities from requirements through implementation and production support
• Strong facilitation, communication, and relationship management skills
• Ability to work independently with minimal supervision and manage multiple priorities
• Experience collaborating with cross-functional business and technology teams
• Strong analytical, problem-solving, and critical-thinking skills
• Experience creating business requirements documents (BRDs), functional specifications, user stories, process maps, and workflow diagrams
• Experience supporting User Acceptance Testing (UAT), defect management, and implementation activities
• Excellent verbal and written communication skills with the ability to communicate effectively with executives and stakeholders
• Experience with Payment Integrity programs and healthcare reimbursement operations
• Knowledge of healthcare claims processing and revenue management processes
• Experience with SQL for data analysis, reconciliation, and validation
• Experience with Power BI, Tableau, or enterprise reporting and analytics tools
• Experience supporting enterprise PMO, governance, or transformation initiatives
• Experience working within Agile, Scrum, Waterfall, or hybrid delivery environments
• Familiarity with healthcare payer platforms and systems
• Experience creating workflow diagrams, process maps, and business process documentation
• Experience supporting large-scale enterprise transformation or operational excellence initiatives