Healthcare Operations Business Analyst

Job Summary

To support strategic initiatives in a complex healthcare environment, the contract Healthcare Operations Business Analyst will work remotely, focusing on business process improvement, operational efficiency, and technology solutions while collaborating with cross-functional teams across the Pacific Time Zone.

Key responsibilities

• Lead business analysis for complex projects by gathering requirements and recommending scalable solutions to enhance operational performance
• Analyze and optimize healthcare appeals and grievances processes, identifying opportunities for automation and continuous improvement
• Develop and maintain business documentation, process maps, and executive presentations to support project delivery and decision-making

Required qualifications

• Bachelor's degree in Business, Computer Science, Healthcare Administration, or a related field, or equivalent experience
• 8+ years of experience in business analysis, business process improvement, or related disciplines
• Demonstrated experience with healthcare appeals and grievances processes
• Hands-on experience with healthcare applications supporting appeals and grievances, such as Availity, Facets, or Epic
• Strong expertise in business process modeling, requirements documentation, and stakeholder facilitation