About the role
Pinnacle Method Consulting's mission is to help job seekers reach their career peak by accessing top-tier opportunities. We are not a staffing firm or agency. Pinnacle Method does not hire for these roles—we systematically source and verify them from premier employers.
Job Title: Business Analyst - Healthcare Location: Remote (TX/NJ) Full-Time Skills / Experience Business Analyst with US Health Insurance domain experience with 10+ years of experience analyzing requirements, document findings, and ensuring effective communication and clarification with stakeholders
Strong Health Insurance experience with focus on processes like Enrolment, Eligibility verification, Prior Authorization, Claims, Payment processes and Denials
8+ years of experience in creating detailed BRDs, user stories, and acceptance criteria, and collaborating with technical teams to define specifications and designs
6+ years of experience coordinating with development and QA/UAT teams, supporting test planning, reviews, and ensuring deliverables meet business requirements
6+ years of experience working with project managers and business teams to align scope, refine requirements, and support successful project delivery
Business Analysis & Requirement Translation - 10+ years of experience in requirements elicitation, gathering, documenting, and validating from stakeholders
Stakeholder Engagement & Communication - 6+ years of experience facilitating workshops, UAT sessions, and cross-functional collaboration; Strong ability to translate technical concepts into business language for diverse stakeholders
Data Quality & Monitoring - Experience defining validation rules, monitoring dashboards, and exception handling processes. Skilled in ensuring data completeness, accuracy, and traceability across the lifecycle
Microsoft Fabric & Data Governance - Understanding the Microsoft Fabric. Good in understanding governance policies, compliance documentation.
Power BI & Reporting - Exposure BI solutions using Power BI
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