Government Market Strategies is looking for a Business Analyst focused on healthcare claims. This role is central to our claims operations, involving detailed analysis of processing, benefit reviews, and system configuration. You will be responsible for gathering and documenting workflows related to claims administration and translating operational concepts into clear business documentation.
What You'll Do
- Meet with clients to gather operational and functional requirements, documenting processes, dependencies, and decision points in real time.
- Review system configuration to ensure alignment with contract or program requirements, including claims, pricing, and benefits.
- Review benefit policy and procedure documents for accuracy and incorporate updates into requirements.
- Collaborate with proposal teams to develop storyboards and solution frameworks aligned to government RFPs.
- Participate in internal kickoff meetings, brainstorming sessions, and review cycles to refine solution narratives.
- Contribute to the development of SOPs, internal playbooks, staffing models, and other pre- and post-award materials.
- Serve as the central point of contact for assigned projects, facilitating communication between clients, internal teams, and vendors.
- Assist with the development of SOPs, internal playbooks, and proposal content to support contract growth or onboarding.
- Support general administration and compliance oversight, including reporting and quality control.
What We're Looking For
- Previous experience in claims audit, processing, or system configurations.
- Previous healthcare experience; Government healthcare or TRICARE highly preferred.
- Comfortable interacting with internal and external stakeholders and translating client requests into business-friendly documentation.
- Experience facilitating meetings, taking detailed notes, and capturing follow-up tasks and dependencies.
- Strong time management, task tracking, and organizational skills.
Nice to Have
- FACETS experience preferred.
Work Mode
This is a global work mode position.
Government Market Strategies is an Equal Opportunity Employer. We are committed to fostering a diverse and inclusive workplace and consider all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic under applicable law.
