Business Analyst

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 Product Owners 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 1) workflows/diagrams 2) user stories 3) enabler stories 4) Release Notes 5) 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”)

• 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
• Coach and develop business analyst team members to be successful
• 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.
• 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. Including sales, client facing teams and clients
• Continuous improvement and refinement on tests based on pre-production validation, post-production results and feedback from other groups (Configuration Department, Research Department and Operations teams) as needed
• Participate in Incident Management, Problem Management, and Continual Service Improvement activities as needed
• Keep abreast of issues to identify enhancements and process improvement opportunities
• Actively contribute innovative ideas and support ad hoc projects, including time-sensitive requests
• Accurately scopes out projects, sets objectives, and goals, develops schedules, measures performance against goals, and evaluates results
• Ensure adherence to quality assurance guidelines
• Maintains awareness of and ensure adherence to ZELIS standards regarding privacy.

Technical Skills:

• Proficient/Advanced Microsoft PowerPoint skillset
• Proficient in SQL (Select, Joins, CTE, Sub Queries)
• Experience with database exploration (table design, data exploration)
• Proficiency other Microsoft Office products - Outlook, Word, Excel, PowerPoint, SharePoint, Teams
• Experience with the Atlassian suite of products (Jira, Confluence, etc.) and/or Product Board is a plus

Professional Experience:

• 5+ years of experience with Business Analysis and/or Business Process Engineering
• A hands-on leader who thrives in an entrepreneurial, collaborative, and growth-oriented environment
• 5+ years of experienced healthcare industry business analyst with expertise in managed care, claims pricing/adjudication, EDI, government programs
• SQL experience required
• Database Management is a plus
• Knowledge of SDLC methodologies including experience working in an Agile environment
• Experience in product development life cycle
• Experience with writing business requirements, technical requirements, user stories, enabler stories, functional specifications, and/or quality assurance testing
• Fluent with Microsoft Office Suite including Visio and/or Lucid
• 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
• Creative problem-solving skills, leveraging insights and input from other parts of an organization
• Demonstrated ability to evaluate and balance team and individual workloads through effective time management, prioritization, and organizational skills
• Strong excel skills required
• Financial modeling and strong analytic skills
• Ability to travel as required meeting team and department goals
• Demonstrated leadership ability with cross-functional teams, knows how to get things done both through formal channels and the informal network
• Ability to think and act strategically, and as well as execute tactically with bias toward action
• Consistently demonstrate ability to act and react swiftly to continuous challenges and changes
• Excellent analytical skills with data and analytics related solutions
• Excellent communication skills
• Strong organization and project / process management skills
• Strong initiative, self-directed and self-motivation
• Good negotiation, problem solving, planning and decision-making skills
• Ability to manage projects simultaneously and achieve goals
• Excellent follow through, attention to detail, and time management skills

education:

• Bachelor’s Degree Preferred in business, healthcare, or technology
• Pragmatic Marketing certifications preferred

work environment:

• Ability to travel as required meeting team and department goals
• A standard work week exists but with the understanding that additional time/effort outside of the usual parameters can/will occur based upon the overall needs of the integration, where deadlines exist and when necessary due to the needs of the integration team

Ability to sit for extended periods of time