Quantix, Inc.Remote
Business Analyst (TPA – Healthcare / Benefits Administration)
United States of America
Full Time
6 hours ago
H1B Sponsor
Key skills
Business Analyst experienceHealthcare business processesRequirements gatheringSQL queriesAnalytical skillsAgile methodologyWaterfall methodologySQLBITableauPower BIAgileCommunication
About this role
Quantix, Inc. is seeking a highly effective Business Analyst with experience in Third-Party Administration (TPA) to support business and operational initiatives within a healthcare payer environment. The role involves engaging with business stakeholders to map end-to-end business processes and translating needs into actionable requirements, while collaborating with IT and data teams for accurate implementation.
Responsibilities:
- Partner with business stakeholders to understand, document, and improve business processes across TPA functions
- Facilitate requirements gathering sessions, stakeholder interviews, and workshops
- Translate business needs into clear business and functional requirements (BRDs, FRDs, user stories)
- Analyze current-state and future-state processes and identify gaps and improvement opportunities
- Support initiatives across domains such as claims, eligibility, provider, customer care, and medical management
- Collaborate with IT, data teams, and vendors to ensure accurate implementation of requirements
- Create process documentation including process flows, use cases, and workflow diagrams
- Support UAT planning, execution, and validation of system and process changes
- Analyze data to validate business outcomes and support decision-making
- Communicate findings, requirements, and recommendations clearly to both technical and non-technical audiences
Requirements:
- 3+ years of Business Analyst experience in TPA, healthcare payer, or health plan environments
- Strong understanding of healthcare business processes (claims, eligibility, provider, customer service, etc.)
- Proven experience gathering, documenting, and managing business requirements
- Excellent verbal and written communication skills (clear, professional English required)
- Ability to confidently speak with business stakeholders and translate needs into actionable solutions
- Strong analytical and problem-solving skills
- Experience working in cross-functional environments (business + IT)
- Experience writing SQL queries for data analysis, validation, and reporting
- Familiarity with reporting and visualization tools (Excel, Power BI, Tableau, etc.)
- Experience with healthcare systems, claims platforms, or benefits administration systems
- Experience working in Agile and/or Waterfall environments