Analyst II, Product Generalist

The Business Analyst at Zelis is responsible for enabling high-quality business analytics solutions within an Agile framework, delivering valuable business outcomes and informed decisions. This role involves facilitating communication between Business Owners, Development, QA, and the Product Owner, and enhancing Zelis' capacity to meet healthcare market IT needs. Key responsibilities include requirements management, developing user and enabler stories, and defining business solutions through eliciting and analyzing business needs. The analyst will participate in Agile ceremonies, prioritize product backlog, define business processes, create training materials, and assist in QA/UAT.

Must Have

• Participate in Agile ceremonies
• Elaborate user stories and requirements
• Define business-driven acceptance criteria
• Define and maintain business processes
• Collaborate on product release content
• Create workflows, approval processes, and validation rules
• Develop training materials and documentation
• Perform gap analysis for functionality and system integrations
• Assist in QA and UAT
• 4+ years in Business Analysis or Process Engineering
• Strong analytical and troubleshooting skills
• Experience with product development life cycle
• Proficiency in writing various requirements and specifications
• Knowledge of SDLC and Agile methodologies
• Fluent in Microsoft Office Suite and Visio
• Skilled in workflow and wireframe creation

Good to Have

• Experience in Healthcare industry
• Knowledge of Payment Integrity solutions
• Knowledge of payer reimbursement policies, state and federal regulations
• SQL experience
• Formal training/certifications in Business/System analysis
• Familiarity with latest UI/UX design guidelines
• Prototyping experience
• SAFe POPM, Agilist, Teams, or Leading Safe certification

Perks & Benefits

• Hybrid work flexibility
• Comprehensive healthcare benefits
• Financial wellness programs
• Cultural celebrations

About Us

Zelis is modernizing the healthcare financial experience in the United States (U.S.) across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients.

Why We Do What We Do

In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system.

Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture.

Position Overview

The Business Analyst is responsible for enabling high quality business analytics solutions in an Agile context that deliver valued business outcomes and informed decisions for Zelis’ key stakeholders. The Business Analyst works as part of the Scrum team to facilitate clear and open communication between Business Owners, Development, Quality Assurance, and the Product Owner. This role provides a major contribution to enhancing Zelis’ overall capacity to meet the information technology needs of an ever-changing healthcare market. One of the core skills of a Business Analyst is requirements management (i.e. user and enabler stories). Developing stories and accurately defining the business solution begins with eliciting, understanding, and analyzing and the needs of the business. A core competency of this role is critical thinking, disciplined thinking that is clear, rational, open-minded, and informed by evidence. This person will act as liaison among Business Owners and/or Solutions Owners (i.e. Product Owner) to gather, analyze, document, communicate and validate business and system requirements and business methodologies. They will create and maintain Agile artifacts which could include but are not limited to:

• workflows/diagrams
• user stories
• enabler stories
• Release Notes
• User Guides

Business Analysts will always look for ways to improve the current state (“AS-IS”) by recommending a more efficient future state (“TO-BE”).

Essential Duties and Functions

• Participate in relevant Agile ceremonies: Daily Stand-Ups, Backlog Grooming, Sprint Planning, Sprint Review, Sprint Retrospective.
• Assist with the elaboration of the user stories and requirements, supporting team members with their work where required
• Be responsible for providing multi-disciplinary teams with user stories and coaching to define the business-driven acceptance criteria and test cases. Proactively support the uplift of Agile practices and foster a culture of continual service improvement
• Consult with the business and product owners to prioritize and shape the product backlog, using Agile practices for prioritization around business value
• Define, implement and maintain business processes and procedures to meet business objectives. Analyze and identify opportunities for business process improvements.
• Collaborate with Solution Owners and/or Product Managers when defining product release content and timeline, applying product development principles, innovative thinking and a focus around the customer or user experience
• Critically evaluate information gathered from multiple sources, reconcile conflicts and decompose high-level information into details.
• Create and maintain workflows, approval processes, and validation rules based on internal stakeholder requirements.
• Create training materials and documentation for internal and/or external applications.
• Perform a thorough gap analysis of existing to potential functionality for internal and/or external applications.
• Create Release Notes as determined by Product Owner.
• Perform analysis and identify gaps in functionality for system integrations.
• Collaborate with the Scrum team to establish the technical vision and analyze tradeoffs between usability and performance needs.
• Improves systems by studying current practices; designing modifications.
• Assist in Quality Assurance (QA) and/or User Acceptance Testing (UAT) of new software or enhancements to existing software as needed.
• The ability to multi-task and work on multiple assignments will be required.
• This individual must also demonstrate clear and concise communication both verbally and in writing.

Experience, Qualifications, Knowledge, and Skills

• Disciplined, structured and logical approach to problem solving
• 4+ years of experience with Business Analysis and/or Business Process Engineering
• Experience in Healthcare industry preferred
• Knowledge of Payment Integrity solutions (hospital billing, claims editing, reimbursement methodologies and acceptable billing practices) preferred
• Knowledge of payer reimbursement policies, state and federal regulations and applicable industry standards preferred
• SQL experience preferred
• The ability to learn a new business and translate these needs into new products, and perform high-level troubleshooting functionality
• Strong troubleshooting, analytical, and business process development skills
• Experience in product development life cycle
• Experience with writing business requirements, technical requirements, user stories, enabler stories, functional specifications, and/or quality assurance testing
• Knowledge of SDLC methodologies including experience working in an Agile environment
• Fluent with Microsoft Office Suite including Visio
• Workflow diagram creation and wireframe creation
• Preferred skills include formal training/certifications in Business/System analysis; familiarity with latest UI/UX design guidelines; knowledge/experience with SAFe/Agile methodologies; prototyping experience
• SAFe POPM, Agilist, Teams, or Leading Safe certification

Physical Demands

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Sedentary work - Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently to lift, carry, push, pull or otherwise move objects in daily work use (laptop, monitors, et. al). Sedentary work involves sitting most of the time. Use of keyboards (typing) and exposure to computer screens occurs daily. Pleasant work environment in office locations with occasional noise or dust.
• While performing the duties of this job, the employee is regularly required to stand; walk; sit; use hands; reach with hands and arms; think; and talk or hear (multi-channel, two-way communication during work hours is required).

Commitment to Diversity, Equity, Inclusion, and Belonging

At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.

Equal Employment Opportunity

Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Accessibility Support

We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability and require reasonable accommodation with any part of the application and/or interview process, please email talentacquisition@zelis.com.