Senior Business Analyst (Payer)

While technology is the heart of our business, a global and diverse culture is the heart of our success. We love our people and we take pride in catering them to a culture built on transparency, diversity, integrity, learning and growth. If working in an environment that encourages you to innovate and excel, not just in professional but personal life, interests you- you would enjoy your career with Quantiphi! Role: Senior Business Analyst - Payer Experience Level: 4 to 7 years Work location: Bangalore What you’ll do:   As a Senior Business Analyst (Payer) in HCLS, you'll be the bridge between complex healthcare payer needs and innovative technology solutions. You'll lead requirements gathering, process mapping, and data analysis for payer-focused projects (e.g., claims processing, provider networks, member engagement). Your expertise in payer operations, regulatory compliance (HIPAA, CMS), and value-based care models will drive the design and implementation of impactful solutions, ensuring alignment with business objectives and delivering measurable value to our clients. You'll mentor junior analysts and champion best practices within the team.  Role & Responsibilities: As a Senior Business Analyst specializing in the Healthcare & Life Sciences (HCLS) domain, with a focus on Payer operations, you will play a pivotal role in understanding, analyzing, and translating complex business needs into actionable technology solutions. You will act as a key liaison between business stakeholders, technical teams, and project management, ensuring successful delivery of initiatives that enhance efficiency, compliance, and member/provider experience within the payer landscape. Requirements Elicitation & Analysis: Lead and facilitate workshops, interviews, and brainstorming sessions with diverse stakeholders (e.g., claims, enrollment, provider relations, finance, compliance) to elicit, document, and prioritize detailed business requirements. Analyze current state processes, identify pain points, and propose future state solutions, leveraging deep understanding of payer operations (e.g., claims adjudication, benefit configuration, premium billing, member services, provider contracting). Translate high-level business needs into clear, concise, and unambiguous functional and non-functional requirements, user stories, use cases, and process flows (BPMN). Solution Design & Strategy: Collaborate with architects, developers, and product owners to design and validate technical solutions that meet business requirements and align with organizational strategy and industry best practices. Evaluate potential solutions, including commercial off-the-shelf (COTS) products and custom development, performing gap analyses and recommending optimal approaches. Contribute to the development of business cases, ROI analyses, and project roadmaps. Payer Domain Expertise & Compliance: Apply in-depth knowledge of healthcare payer…