Business Analyst

Programmers.io is currently looking for a "Healthcare Business Analyst" Hybrid in Minneapolis, Minnesota, United States . Contract Role open for C2C OR W2 Job Summary Key Responsibilities Business Analysis & Solution Design • Elicit, analyze, and document complex business, operational, and system requirements • Translate business problems into functional requirements, workflows, process models, and user stories • Facilitate requirements workshops with business and technology stakeholders • Support end-to-end solution design and implementation activities • Validate that delivered solutions meet business objectives and acceptance criteria Payment Integrity & Healthcare Domain Analysis • Analyze healthcare claims, provider billing patterns, member utilization, and payment integrity opportunities • Support initiatives focused on preventing improper payments and reducing financial leakage • Collaborate with SMEs to understand clinical and non-clinical claim scenarios • Perform root cause analysis and identify process improvement opportunities AI & Intelligent Automation Enablement • Translate business risks and operational challenges into AI-ready business requirements • Define business rules, signals, thresholds, and intervention logic supporting AI-enabled workflows • Partner with Data Science teams to define model inputs, outputs, business validation criteria, and success measures • Support Human-in-the-Loop review processes and AI governance practices • Participate in workflow automation and intelligent decision-support initiatives • Ensure AI-driven solutions remain explainable, auditable, and aligned with business objectives Data & Analytics Support • Analyze large healthcare datasets to identify trends, anomalies, and improvement opportunities • Collaborate with analytics teams to define metrics, KPIs, and reporting requirements • Support business validation and testing efforts • Leverage data to support strategic decision making Stakeholder Engagement • Serve as liaison between business, operations, product, engineering, data science, and analytics teams • Facilitate discussions, alignment sessions, and solution reviews • Present recommendations and findings to leadership and stakeholders • Drive consensus across cross-functional teams Preferred Experience • 10+ years of Business Analysis / Business Systems Analysis experience • Strong U.S. Healthcare experience working with all Lines of businesses • Payment Integrity, Claims, FWA/Revenue Cycle Management experience • Experience supporting AI, advanced analytics, or intelligent automation initiatives • Healthcare claims processing and adjudication knowledge • Knowledge of lifecycle of a claim is a “MUST”. Claims processing is an added advantage • Agile delivery experience • SQL and data analysis capabilities If you are interested, please apply or feel free to share your updated resume at anas.khan@programmers.ai