Hiring: Business Analyst Health Insurance (Agentic IVR / Agentic AI) Location: Remote Employment Type: Contract We are seeking an experienced Business Analyst with a strong background in the US Health Insurance domain to support Agentic IVR and Conversational AI initiatives. The ideal candidate will have expertise in payer operations, business analysis, and Agile delivery while working closely with business and technology stakeholders.

Responsibilities

• Gather, analyze, and document business requirements for Agentic IVR and Conversational AI solutions.
• Work with business stakeholders to understand payer workflows and translate them into detailed business and functional requirements.
• Analyze healthcare business processes including Claims, Eligibility, Benefits, Prior Authorization, Referrals, Enrollment, Member Services, Billing, Pharmacy, ID Cards, and Cost Responsibility.
• Prepare Business Requirement Documents (BRDs), Functional Requirement Documents (FRDs), User Stories, Acceptance Criteria, and process flows.
• Collaborate with Product Owners, Developers, QA teams, and client SMEs throughout the project lifecycle.
• Support UAT, Pre-UAT, Go-Live activities, and post-production validation.
• Ensure business requirements comply with HIPAA regulations, PHI/PII masking, and healthcare compliance standards.
• Participate in Agile ceremonies and maintain project documentation using Jira and Confluence.

Required Qualifications

• 5+ years of Business Analyst experience in the US Health Insurance domain.
• Strong understanding of payer operations, including Claims, Eligibility, Benefits, Prior Authorization, Enrollment, and Member Services.
• Experience supporting IVR, Contact Center, Conversational AI, or Voice AI initiatives.
• Knowledge of HIPAA, PHI/PII handling, and healthcare regulatory requirements.
• Experience creating BRDs, FRDs, User Stories, and Acceptance Criteria.
• Hands-on experience with Jira, Confluence, and Agile/Scrum methodologies.
• Experience supporting UAT, Go-Live, and enterprise application implementations.
• Excellent communication, analytical, and stakeholder management skills.

Preferred Qualifications

• Experience with Agentic AI, Intelligent Virtual Assistants, or Contact Center modernization projects.
• Exposure to enterprise healthcare digital transformation initiatives.