Insurance Business Analyst (BA) with TPA background in Health, Annuity and Life)

We are

At Synechron, we believe in the power of digital to transform businesses for the better. Our global consulting firm combines creativity and innovative technology to deliver industry-leading digital solutions. Synechron’s progressive technologies and optimization strategies span end-to-end Artificial Intelligence, Consulting, Digital, Cloud & DevOps, Data, and Software Engineering, servicing an array of noteworthy financial services and technology firms. Through research and development initiatives in our FinLabs we develop solutions for modernization, from Artificial Intelligence and Blockchain to Data Science models, Digital Underwriting, mobile-first applications and more. Over the last 20 years, our company has been honored with multiple employer awards, recognizing our commitment to our talented teams. With top clients to boast about, Synechron has a global workforce of 14,500 , and has 58 offices in 21 countries within key global markets.

Our Challenge:

We are seeking an experienced Senior Business Analyst with deep expertise in Long-Term Care (LTC) insurance Third Party Administration (TPA) to join our dynamic team. The ideal candidate will have a thorough understanding of LTC policy terms, claim adjudication processes, and US regulatory requirements. This role requires excellent communication skills to collaborate effectively with cross-functional teams and stakeholders while adhering to Agile/Scrum methodologies. The Senior Business Analyst will play a pivotal role in bridging the gap between business needs and technical solutions, ensuring seamless delivery of LTC-specific systems and processes.

Additional Information*

The base salary for this position will vary based on geography and other factors.

In accordance with law, the base salary for this role if filled within Piscataway, NJ is $110K - $120K /year & benefits (see below).

Responsibilities:

• Analyze and interpret LTC insurance policy terms, benefit structures, claim adjudication guidelines, and compliance with US regulations.
• Conduct in-depth gap analysis to identify inefficiencies and improvement opportunities in LTC claims adjudication and benefit management processes.
• Assist in the development and validation of automated workflow solutions for LTC claims processing and benefit determinations.
• Facilitate the integration and rigorous testing of LTC-specific claims systems and third-party vendor platforms.
• Support customization and configuration of LTC policy rules to meet diverse client requirements.
• Serve as the principal liaison for domain-specific training, documentation, and knowledge transfer to internal teams and external stakeholders.

Elicit, analyze, and document comprehensive business, functional, and non-functional requirements specific to the LTC insurance domain.

• Develop clear process flow diagrams, use cases, wireframes, and other visual aids to effectively communicate requirements.
• Prepare detailed requirement traceability matrices to ensure alignment and coverage throughout the project lifecycle.
• Facilitate effective communication between business stakeholders, product owners, and technical development teams to foster clear understanding and consensus on project requirements.
• Lead stakeholder interviews, collaborative workshops, and requirement gathering sessions to capture evolving business needs.
• Actively participate in Agile ceremonies including sprint planning, daily stand-ups, sprint reviews, and retrospectives.
• Manage change requests with thorough analysis, documentation updates, and communication to all relevant parties.
• Provide ongoing support, training, and user adoption strategies post-implementation.
• Collaborate with QA teams to define test cases informed by business requirements.
• Support system integration testing and user acceptance testing phases.
• Assist in defect triage, tracking, and resolution to ensure quality deliverables.
• Contribute to project planning activities including scope definition, risk assessment, and timeline estimation.
• Monitor project progress and provide status updates to leadership and stakeholders.
• Stay current with industry trends, emerging technologies, and best practices in LTC insurance and business analysis.
• Recommend process and system enhancements to improve operational efficiency, compliance, and customer satisfaction.

Requirements:

• Proven experience as a Business Analyst in the LTC Insurance TPA domain with strong knowledge of US regulations.
• Demonstrated ability to interpret LTC policy language and claims adjudication processes.
• Proficient in Agile/Scrum methodologies with experience working in functional and cross-functional teams.
• Exceptional communication skills, capable of effectively engaging with technical teams and business stakeholders at all levels.
• Strong analytical thinking with proficiency in creating process flows, use cases, and wireframes.
• Experience supporting testing activities (system, integration, UAT).
• Adept at managing requirements traceability, change management, and stakeholder expectations.
• Ability to serve as a domain expert and trainer for LTC insurance processes
• LOMA and CBAP certifications preferred

We offer:

• A highly competitive compensation and benefits package.
• A multinational organization with 58 offices in 21 countries and the possibility to work abroad.
• 10 days of paid annual leave (plus sick leave and national holidays).
• Maternity & paternity leave plans.
• A comprehensive insurance plan including medical, dental, vision, life insurance, and long-/short-term disability (plans vary by region).
• Retirement savings plans.
• A higher education certification policy.
• Commuter benefits (varies by region).
• Extensive training opportunities, focused on skills, substantive knowledge, and personal development.
• On-demand Udemy for Business for all Synechron employees with free access to more than 5000 curated courses.
• Coaching opportunities with experienced colleagues from our Financial Innovation Labs (FinLabs) and Center of Excellences (CoE) groups.
• Cutting edge projects at the world’s leading tier-one banks, financial institutions and insurance firms.
• A flat and approachable organization.
• A truly diverse, fun-loving, and global work culture.

SYNECHRON’S DIVERSITY & INCLUSION STATEMENT

Diversity & Inclusion are fundamental to our culture, and Synechron is proud to be an equal opportunity workplace and is an affirmative action employer. Our Diversity, Equity, and Inclusion (DEI) initiative ‘Same Difference’ is committed to fostering an inclusive culture – promoting equality, diversity and an environment that is respectful to all. We strongly believe that a diverse workforce helps build stronger, successful businesses as a global company. We encourage applicants from across diverse backgrounds, race, ethnicities, religion, age, marital status, gender, sexual orientations, or disabilities to apply. We empower our global workforce by offering flexible workplace arrangements, mentoring, internal mobility, learning and development programs, and more.

All employment decisions at Synechron are based on business needs, job requirements and individual qualifications, without regard to the applicant’s gender, gender identity, sexual orientation, race, ethnicity, disabled or veteran status, or any other characteristic protected by law.