Business Process Analyst US Healthcare

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