Job Description
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
