Senior Healthcare Business Analyst / Behavioral Health SME

Meritore Technologies is seeking a Senior Healthcare Business Analyst and Behavioral Health Subject Matter Expert to support payer transformation initiatives. The role bridges business and technology teams through behavioral health expertise, payer process analysis, requirements gathering, process mapping, gap analysis, testing support, stakeholder management, data analysis, and systems integration.

Requirements:

• 10+ years of Healthcare Payer experience with 5+ years in Behavioral Health (Mental Health & Substance Use Disorders)
• Strong understanding of the end-to-end payer lifecycle
• Deep knowledge of Behavioral Health regulations
• Strong Business Analysis skills
• Experience with payer platforms such as Facets, QNXT, HealthRules, GuidingCare, TruCare, or similar
• Knowledge of healthcare transactions and interoperability standards
• Strong SQL, data analysis, and system integration understanding
• Experience with Commercial, Medicare, and Medicaid lines of business
• Exposure to Behavioral Health care management, utilization management, and value-based care programs
• Experience working on payer modernization, data, AI, or digital transformation initiatives