Business Analyst (TPA - Healthcare / Benefits Administration)

Job Title: Business Analyst (TPA - Healthcare / Benefits Administration) Location: [Remote / Hybrid / Onsite] Type: [Contract / Full-time] Position Overview We are seeking a highly effective Business Analyst with experience in Third-Party Administration (TPA) to support business and operational initiatives within a healthcare payer environment. This role requires someone who can confidently engage with business stakeholders, understand and map end-to-end business processes, and translate needs into clear, actionable requirements. The ideal candidate is articulate, process-driven, and able to bridge the gap between business and technology teams. Experience with SQL for data analysis is a strong plus. Key Responsibilities • Partner with business stakeholders to understand, document, and improve business processes across TPA functions • Facilitate requirements gathering sessions, stakeholder interviews, and workshops • Translate business needs into clear business and functional requirements (BRDs, FRDs, user stories) • Analyze current-state and future-state processes and identify gaps and improvement opportunities • Support initiatives across domains such as claims, eligibility, provider, customer care, and medical management • Collaborate with IT, data teams, and vendors to ensure accurate implementation of requirements • Create process documentation including process flows, use cases, and workflow diagrams • Support UAT planning, execution, and validation of system and process changes • Analyze data to validate business outcomes and support decision-making • Communicate findings, requirements, and recommendations clearly to both technical and non-technical audiences Required Qualifications • 3+ years of Business Analyst experience in TPA, healthcare payer, or health plan environments • Strong understanding of healthcare business processes (claims, eligibility, provider, customer service, etc.) • Proven experience gathering, documenting, and managing business requirements • Excellent verbal and written communication skills (clear, professional English required) • Ability to confidently speak with business stakeholders and translate needs into actionable solutions • Strong analytical and problem-solving skills • Experience working in cross-functional environments (business + IT) Preferred Qualifications • Experience writing SQL queries for data analysis, validation, and reporting • Familiarity with reporting and visualization tools (Excel, Power BI, Tableau, etc.) • Experience with healthcare systems, claims platforms, or benefits administration systems • Experience working in Agile and/or Waterfall environments