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Senior Business Analyst

Work from home Full-time role Hiring

Ciklum is looking for a Senior Business Analyst to join our team full-time in India. We are a custom product engineering company that supports both multinational organizations and scaling startups to solve their most complex business challenges. With a global team of over 4,000 highly skilled developers, consultants, analysts and product owners, we engineer technology that redefines industries and shapes the way people live. About the role: As a Senior Business Analyst, become a part of a cross-functional development team engineering experiences of tomorrow. In this role, you will bridge the gap between our business stakeholders (US Health Plans/Payers) and our technical engineering teams. You will be responsible for eliciting, analyzing, and detailing business requirements to build, enhance, and scale customer-facing and internal web applications. A deep understanding of US Payer operations, claims lifecycles, and web app UX/UI workflows is critical for success. Responsibilities: Requirement Elicitation & ManagementLead requirement gathering sessions (JAD sessions, workshops, interviews) with US-based clients, product vendors, and operational teams Translate complex payer business rules into clear, structured Business Requirement Documents (BRD), Functional Specification Documents (FSD), and Agile User Stories with clear Acceptance Criteria (Gherkin format preferred) Maintain the product backlog and prioritize features based on compliance deadlines, business value, and technical dependencies US Payer Domain ExecutionMap and optimize core payer workflows including Member Enrollment, Eligibility verification, Claims Adjudication (processing), Billing, and Provider Network Management Ensure all web applications comply with US Healthcare regulations, specifically HIPAA, ACA (Affordable Care Act), and CMS mandates Work heavily with EDI healthcare transactions such as 837 (Claims), 835 (Remittance Advice), 270/271 (Eligibility Inquiry/Response), and 276/277 (Claim Status) Web Application & Product LifecycleCollaborate with UI/UX designers to create intuitive web portal wireframes, user journeys, and mockups tailored for both Payer Admins and Members Define functional requirements for web components like dashboards, reporting widgets, secure member portals, and API integrations Analyze end-to-end data flows from web app front-ends to core back-end adjudication engines Testing & Implementation SupportPartner closely with QA teams to review test plans and functional test cases ensuring 100% requirement traceability Facilitate User Acceptance Testing (UAT) with business users, triaging defects, and defining clear remediation workflows Requirements: Experience: 7+ years of Business Analysis experience, with a minimum of 3 years strictly dedicated to the US Healthcare Payer domain Web App Experience: Proven track record of shipping or managing enterprise B2B or B2C web applications or web portals Strong working knowledge of Agile/Scrum environments (Jira, Confluence) Solid understanding of relational databases and ability to write intermediate SQL queries for data analysis and profiling Familiarity with web services architectures (REST/SOAP APIs, JSON, XML) Domain Knowledge: Solid grasp of core US Payer concepts like Copay, Deductibles, Coinsurance, Out-of-Pocket Maximums, Coordination of Benefits (COB), and ICD-10/CPT coding systems Personal skills: Exceptional written and verbal communication skills; comfortable presenting to senior US stakeholders and managing time-zone-aligned communications Gap analysis with the AS-IS and TO-BE flows based on the client provided references and/or prototypes, and deriving requirements and hence Epics, Stories etc Perform additional research as applicable with reference to the work flow and related to the Health care business requirements for proposal on enhanced flow Ensure requirements traceability and strong change request process and controls around deviations to defined scope, there by ensure complete control on cost and timelines of the Fixed price program What’s in it for you? Strong community: Work alongside top professionals in a friendly, open-door environment Growth focus: Take on large-scale projects with a global impact and expand your expertise Tailored learning: Boost your skills with internal events (meetups, conferences, workshops), Udemy access, language courses, and company-paid certifications Endless opportunities: Explore diverse domains through internal mobility, finding the best fit to gain hands-on experience with cutting-edge technologies Care: We’ve got you covered with company-paid medical insurance, mental health support, and financial & legal consultations About us: At Ciklum, we are always exploring innovations, empowering each other to achieve more, and engineering solutions that matter. With us, you’ll work with cutting-edge technologies, contribute to impactful projects, and be part of a One Team culture that values collaboration and progress. India is a strategic innovation hub for Ciklum, with growing teams in Chennai and Pune leading advancements in EdgeTech, AR/VR, IoT, and beyond. Join us to collaborate on game-changing solutions and take your career to the next level. Explore, empower, engineer with Ciklum! Interested already? We would love to get to know you! Submit your application. We can’t wait to see you at Ciklum. #LI-GP1

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