Senior Business Analyst

Brooksource is a trusted IT and Engineering services provider, and they are seeking a highly experienced Senior Business Analyst with deep expertise in Coordination of Benefits (COB) to join their critical transformation program. The Senior Business Analyst will be responsible for dissecting complex COB functions and translating requirements into actionable solutions while leading stakeholder workshops and documenting functional specifications.

Responsibilities:

• Serve as the primary subject matter expert (SME) for all Coordination of Benefits (COB) processes, rules, and system interactions across Commercial and Medicare lines of business
• Lead and facilitate deep-dive workshops and interviews with business stakeholders, operational teams, and other portfolio leaders to map current-state and design future-state COB business processes
• Analyze and decompose complex COB scenarios, including primary/secondary determinations, Medicare as secondary, coordination with group health plans, and various state-specific regulations
• Author and maintain detailed functional specifications, business requirement documents (BRDs), process flows, and user stories with clear, unambiguous acceptance criteria for the COB workstream
• Collaborate with cross-functional portfolio teams (Claims, Data, Membership, Compliance, Reporting) to define integration points, data dependencies, and handoff procedures, ensuring a seamless end-to-end solution
• Identify, document, and analyze the impact of COB-related risks, dependencies, and functional gaps, proposing viable solutions and mitigation strategies
• Provide expert guidance during testing phases (SIT, UAT) by clarifying requirements, validating test cases, and assisting with root cause analysis for COB-specific defects
• Act as a trusted advisor to project leadership, providing clear and concise updates on the COB workstream's progress, challenges, and decision points

Requirements:

• 10+ years of experience as a Business Analyst, with a minimum of 4-5 years dedicated exclusively to Coordination of Benefits (COB) within a US healthcare payer or health insurance environment
• Demonstrated, deep expertise in COB principles, including Medicare Secondary Payer (MSP) rules, HIPAA transaction standards (270/271/276/277), and state-specific COB regulations
• Proven experience leading the requirements-gathering and design process for a complex COB system implementation, migration, or major enhancement
• Exceptional facilitation and stakeholder management skills, with the ability to lead workshops with diverse groups of technical and business professionals
• Strong analytical and problem-solving skills, with a talent for asking insightful questions that uncover critical details and hidden assumptions
• Expertise in creating clear, comprehensive documentation, including process flows, functional specs, and user stories with well-defined acceptance criteria
• Familiarity with Agile/Scrum methodologies and tools (e.g., JIRA, Confluence)
• Experience working in a multi-vendor, matrixed project environment with a clear understanding of managing cross-functional dependencies
• Experience with large-scale payer transformations or core system modernization projects
• Payer experience with Medicare Advantage lines of business
• Experience working within Enrollment portfolios
• Bachelor's degree in Business Administration, Healthcare Administration, Information Systems, or a related field