Senior Business Analyst

Brooksource is a trusted IT and Engineering services provider that supports Fortune 500 organizations. They are seeking a highly experienced Senior Business Analyst with expertise in Coordination of Benefits (COB) to lead stakeholder workshops and translate complex COB requirements into actionable solutions.

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