What are the responsibilities and job description for the Business Analyst position at Programmers.io?
Programmers.io is currently looking for a "Healthcare Business Analyst"
Hybrid in Minneapolis, Minnesota, United States
.
Contract Role open for C2C OR W2
Job Summary
Key Responsibilities
Business Analysis & Solution Design
- Elicit, analyze, and document complex business, operational, and system requirements
- Translate business problems into functional requirements, workflows, process models, and user stories
- Facilitate requirements workshops with business and technology stakeholders
- Support end-to-end solution design and implementation activities
- Validate that delivered solutions meet business objectives and acceptance criteria
Payment Integrity & Healthcare Domain Analysis
- Analyze healthcare claims, provider billing patterns, member utilization, and payment integrity opportunities
- Support initiatives focused on preventing improper payments and reducing financial leakage
- Collaborate with SMEs to understand clinical and non-clinical claim scenarios
- Perform root cause analysis and identify process improvement opportunities
AI & Intelligent Automation Enablement
- Translate business risks and operational challenges into AI-ready business requirements
- Define business rules, signals, thresholds, and intervention logic supporting AI-enabled workflows
- Partner with Data Science teams to define model inputs, outputs, business validation criteria, and success measures
- Support Human-in-the-Loop review processes and AI governance practices
- Participate in workflow automation and intelligent decision-support initiatives
- Ensure AI-driven solutions remain explainable, auditable, and aligned with business objectives
Data & Analytics Support
- Analyze large healthcare datasets to identify trends, anomalies, and improvement opportunities
- Collaborate with analytics teams to define metrics, KPIs, and reporting requirements
- Support business validation and testing efforts
- Leverage data to support strategic decision making
Stakeholder Engagement
- Serve as liaison between business, operations, product, engineering, data science, and analytics teams
- Facilitate discussions, alignment sessions, and solution reviews
- Present recommendations and findings to leadership and stakeholders
- Drive consensus across cross-functional teams
Preferred Experience
- 10 years of Business Analysis / Business Systems Analysis experience
- Strong U.S. Healthcare experience working with all Lines of businesses
- Payment Integrity, Claims, FWA/Revenue Cycle Management experience
- Experience supporting AI, advanced analytics, or intelligent automation initiatives
- Healthcare claims processing and adjudication knowledge
- Knowledge of lifecycle of a claim is a “MUST”. Claims processing is an added advantage
- Agile delivery experience
- SQL and data analysis capabilities
If you are interested, please apply or feel free to share your updated resume at anas.khan@programmers.ai