Job Summary and Responsibilities
Role: Manager – Business Analyst
YOE: 16+ Years
Location: Chennai, Bangalore, Hyderabad
About the Job
We are seeking a Manager – Business Analyst with deep expertise in the Medicaid healthcare domain to lead high-impact functional initiatives across Payer, Provider, Claims, and/or RCM. This role is a hybrid (hands-on IC + people leadership) and will own functional strategy, stakeholder alignment, delivery governance, and BA capability building. You will drive clarity from ambiguity, ensure compliance with Medicaid/CMS expectations, and enable successful execution across cross-functional teams and partners.
What You Will Do
- Lead functional strategy and execution for Medicaid programs, Care Management, Clinical Products, and transformation initiatives.
- Partner with business leadership, Product, and Technology to shape roadmap inputs, define scope, and drive prioritization based on business outcomes and regulatory needs.
- Own enterprise requirement governance: establish standards for BRDs/FRDs, epics, user stories, acceptance criteria, RTM, and process models; ensure consistency and quality across teams.
- Provide hands-on functional leadership for complex initiatives—leading discovery workshops, defining target-state processes, and guiding solution design decisions.
- Lead and mentor a team of Business Analysts: coaching, performance feedback, skill development, allocation planning, and best-practice adoption.
- Drive delivery governance across Agile programs: backlog health, story readiness, dependency management, risk/issue tracking, and release readiness.
- Oversee UAT strategy and governance, ensuring test coverage, defect triage discipline, stakeholder sign-offs, and readiness for production deployments.
- Lead impact assessments for regulatory changes and releases, including upstream/downstream dependencies, data implications, and integration impacts.
- Strengthen interoperability and integration outcomes by guiding API/data exchange requirements, mapping standards, and validation approach.
- Collaborate with PMO/Program leadership on reporting, status communication, stakeholder updates, and escalation management.
Job Requirements and Qualifications
Who You Are (Education & Experience)
- 12+ years of Business Analysis experience, with significant Medicaid healthcare domain expertise.
- Strong functional knowledge across Contracts fall under Payer, Provider, Claims, and/or RCM and Medicaid/Medicare end-to-end workflows.
- Demonstrated experience in people management (BA leadership) along with hands-on delivery ownership.
- Experience working in Agile delivery models; exposure to scaled Agile/program delivery is preferred.
- Proven ability to influence senior stakeholders and drive alignment across business, product, and engineering.
- Preferred certifications: CBAP/CCBA, CSM/PSM, SAFe (POPM/Agilist), and/or Health Informatics (CAHIMS/CPHIMS).
Technical Skills
- Functional analysis & governance: BRDs, FRDs, epics, user stories, acceptance criteria, RTM, BPMN/UML, process optimization, and operating model documentation.
- Agile & ALM tools: JIRA, Rally, Azure DevOps (preferred); Confluence/SharePoint for documentation governance.
- Workshop facilitation tools: Miro/Mural (preferred); diagramming: Visio/Lucidchart.
- Healthcare standards & compliance: HL7, FHIR, ICD-10, SNOMED CT; HIPAA and CMS-aligned delivery considerations.
- Medicaid / payer landscape: State Medicaid systems, Care Management, Clinical Products, interoperability initiatives, and compliance-driven enhancements.
- Data & integration leadership (preferred): strong understanding of data mapping/validation, working SQL knowledge for analysis, API/integration requirements (REST concepts), and reconciliation/controls.
- Reporting & governance (nice to have): familiarity with Power BI/Tableau for KPI and delivery reporting, and ability to define functional metrics and dashboards.
Soft Skills
- Strong leadership presence with the ability to coach teams and influence senior stakeholders.
- Excellent communication and stakeholder management across business and technical audiences.
- Strategic thinking with strong execution discipline, prioritization, and decision-making.
- High ownership mindset, attention to detail, and ability to manage complex delivery landscapes.
- Collaborative, inclusive leadership style that drives clarity, accountability, and outcomes.
