Position: Business Process Analyst – US Healthcare
Location: Gurugram, India (with US travel requirements) Experience: 3-6 years Domain: US Healthcare (Credentialing & Enrollment focus) Role Overview Seeking a Business Process Analyst specializing in healthcare credentialing and enrollment to support client onsite projects and internal product development initiatives. This hybrid role combines client-facing process optimization with strategic contribution to proprietary healthcare technology solutions. Key Responsibilities Onsite Project Delivery (30-40% time):
- Document current-state credentialing and enrollment workflows at client locations
- Create detailed SOPs for provider credentialing, payer enrollment, and maintenance processes
- Conduct stakeholder interviews with credentialing coordinators, medical staff offices, and administrators
- Map complex multi-payer credentialing requirements and timelines
- Facilitate process improvement workshops focused on credentialing efficiency
Offshore Business Analysis (60-70% time):
- Platform Development Support: Translate credentialing domain expertise into detailed business requirements for technology solutions
- Requirements Gathering: Document user stories, acceptance criteria, and process flows for healthcare automation features
- Product Enhancement: Analyze client feedback and market needs to recommend platform improvements
- Internal Process Optimization: Standardize credentialing delivery methodologies and quality frameworks
- Training & Knowledge Transfer: Develop training materials for operations teams based on onsite learnings
Required Qualifications
- Experience: 3-6 years in US healthcare operations, preferably credentialing/enrollment/provider data management
- Domain Knowledge: Understanding of CAQH, state licensing, malpractice, hospital privileges, and payer enrollment processes
- Documentation Skills: Experience creating detailed process documentation, user guides, and training materials
- Visa Status: Valid US B1/B2 visa with ability to travel 25-30% of time
- Analytical Skills: Ability to translate business processes into technical requirements and system specifications
- Communication: Strong English communication for client interaction and internal stakeholder management
Preferred Qualifications
- Previous experience with credentialing software platforms or databases
- Knowledge of healthcare compliance requirements (NCQA, Joint Commission, CMS)
- Understanding of technology platforms used in credentialing workflows
- Experience in BPO/KPO transition projects
- Basic understanding of software development lifecycle and requirements management
What We Offer
- International exposure through onsite client assignments
- Career growth in expanding healthcare technology solutions
- Collaborative environment with direct client interaction
- Competitive compensation with onsite allowances
