Healthcare Business Analyst (ID 1269)

Role Overview

The Business Analyst (BA) will support product management and delivery of a Health Insurance Policy Administration System (PAS). The role focuses on detailed business analysis, requirement elaboration, configuration support, and testing, ensuring that insurance products and processes are correctly implemented in the PAS. The BA works closely with Product Owner, Development and QA teams, acting as a functional translator between insurance business needs and PAS capabilities.

1. Business Requirements & Analysis

• Elicit and document detailed requirements for:
  

• Product setup (LOB, coverages, deductibles, limits)
  

• Policy lifecycle processes (quote, issue, endorse, renew, cancel)
  

• Claims
  

• Create and maintain:
  

• Feature Traceability Matrix
  

• Functional Specification Document
  

• Functional Test Cases
  

2. PAS Functional Support

• Support configuration of insurance products in PAS, including:
  

• Rating factors and premium calculations
  

• Underwriting rules and referrals
  

• Policy workflows and validations
  

• Claims workflows and validations
  

• Work closely with developers
  

3. Insurance Domain Support (Health Insurance)

• Provide functional expertise across Health Insurance product lines:
  

• Individual Health Products
  

• Group Health
  

• Support regulatory requirements such as:
  

• IRDAI norms
  

• 64VB compliance
  

• GST applicability
  

4. Development Support

• Clarify requirements during development and testing.
  

• Assist Product Owner in:
  

• Backlog grooming
  

• Requirement prioritization
  

5. Testing Support

• Design and execute functional test scenarios
  

• Validate executed test cases against acceptance criteria.
  

6. Integration Support

• Define functional requirements for integrations with:
  

• External data sources (KYC, vehicle/property data)
  

• Insurtechs
  

Requirements

Insurance & Domain

• Strong understanding of health insurance products and policy lifecycle.
  

• Experience working with underwriting, claims and policy servicing teams.
  

• Familiarity with insurance compliance and regulatory needs.
  

PAS & Systems

• Hands-on experience with at least one Health Insurance Policy Admin. System
  

• Understanding of:
  

• Product configuration concepts
  

• Rating engines
  

• Workflow orchestration
  

Business Analysis

• Expertise in:
  

• Requirement elicitation and documentation
  

• Test cases and acceptance criteria
  

• Process modeling (BPMN / flow diagrams)
  

Soft Skills

• Strong analytical and problem-solving ability.
  

• Clear communication with technical teams.
  

• Attention to details in documentation
  

• Ability to manage multiple workstreams simultaneously.
  

Preferred Qualifications

• Master’s degree in Insurance, or Business.
  

• Insurance certifications
  

• BA certifications