Cognizant is hiring for the position of Business Analyst in Pune, India. Candidates with a Bachelor’s/ Master’s Degree are eligible to apply for this position. The complete information, eligibility criteria, and requirements are provided below.
Job Description:
| Company Name | Cognizant |
| Position | Business Analyst |
| Qualification | Bachelor’s/ Master’s Degree |
| Experience | Experienced |
| Location | Pune, India (Hybrid) |
Key Responsibilities:
- Collaborate with cross-functional healthcare teams to gather business requirements for benefits open enrollment and translate them into clear, testable requirement specifications that support technical development and process design.
- Analyze complex payer and provider workflows related to enrollment, eligibility, billing, and claims to identify process gaps, inefficiencies, and compliance risks that may affect operational accuracy and member satisfaction.
- Document detailed current-state and future-state process flows for open enrollment scenarios, including eligibility updates, plan changes, and special enrollment events, to ensure consistent execution across business units.
- Develop comprehensive user stories, use cases, and acceptance criteria that reflect payer and provider requirements for benefits enrollment while ensuring compliance with HIPAA data-handling standards.
- Coordinate with product owners, configuration specialists, and quality analysts to prioritize enrollment-related requirements and support timely delivery in alignment with night-shift release schedules and hybrid collaboration practices.
- Perform detailed analysis of enrollment files and transactions to identify and resolve data discrepancies, including missing coverage details, incorrect effective dates, and plan-mapping errors affecting payer and provider partners.
- Validate system configurations, benefit plans, and enrollment rules to ensure accurate premium calculations, coverage periods, and member communications across multiple payer and provider lines of business.
- Support user acceptance testing (UAT) for enrollment and eligibility functions by creating test conditions, preparing test data, and validating results against defined business rules and HIPAA requirements.
- Prepare clear business requirements documents, functional specifications, and change impact assessments to communicate enrollment-related impacts to operations, technology, compliance, and client-facing teams.
- Engage with stakeholders during night-shift meetings to review requirements, clarify open questions, and align on scope changes while maintaining professional and inclusive communication.
- Monitor key performance indicators related to enrollment accuracy, turnaround time, and rejection rates, and recommend data-driven improvements to enhance service quality for members, providers, and payer partners.
- Provide subject matter expertise on payer and provider enrollment dependencies to help teams understand how configuration and process changes may affect claims adjudication, billing, and provider network interactions.
- Support incident analysis and root cause investigations for enrollment-related production issues by reviewing system logs, configurations, and data, and recommending sustainable corrective actions.
- Collaborate with compliance and security stakeholders to ensure that enrollment processes, data transfers, and reports adhere to HIPAA privacy and security requirements while minimizing operational disruptions.
- Assist in developing training materials and reference guides for operations staff covering updated enrollment procedures, plan structures, and exception-handling processes to promote consistent execution during night shifts.
- Participate in continuous improvement initiatives by identifying automation opportunities for enrollment validation, reconciliation, and notification processes to reduce manual effort and minimize operational errors.
Eligibility Criteria:
- Four to five years of relevant experience as a Business Analyst within the healthcare domain, with substantial exposure to both payer and provider business processes and interactions.
- Strong practical knowledge of benefits open enrollment, including life event processing, plan mapping, eligibility feeds, and reconciliation between payer systems and provider networks.
- Working knowledge of HIPAA requirements and their application in designing and reviewing processes that protect member data during eligibility updates, enrollment changes, and enrollment file transmissions.
- Proficiency in requirements elicitation, process mapping, and documentation, with the ability to create clear and actionable artifacts for both technical and operations teams.
- Strong data analysis skills using spreadsheets, reporting tools, or similar applications to validate enrollment outcomes, identify error trends, and recommend corrective actions.
- Excellent verbal and written communication skills, with the ability to collaborate effectively with stakeholders across product, operations, technology, and compliance teams in hybrid and night-shift environments.
- Ability to adapt to changing client requirements and regulatory updates within the healthcare payer and provider landscape while maintaining high-quality standards and delivering analysis outcomes within established timelines.
About Company:
Cognizant is a global professional services firm that transforms clients business, operating, and technology models for the digital era. Our distinct industry-based, consultative approach assists clients in envisioning, building, and operating more innovative and efficient businesses. Cognizant, headquartered in the United States, is ranked 185 on the Fortune 500 and is consistently ranked among the world’s most admired companies.
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