Healthcare Business Analyst

This is Prathmesh, US IT Recruiter at Yorkshire Global Solutions Inc. We are currently hiring for below role.

Please read full job description carefully

Role: Lead Business Analyst - Benefits Administration

Location: Chicago, IL (Onsite)

Experience: 10+ Years

Contract: W2 Only (No Chance of C2C / 1099)

Job Description

Lead Business Analyst to lead requirements gathering and solution design for US benefits administration, guide a BA team, and coordinate onshore stakeholders with offshore delivery teams.

Responsibilities:

• Lead requirements gathering and solution design for health and welfare plans, open enrollment, life events, eligibility rules, and carrier integrations.
• Translate complex client and regulatory needs—including ACA, COBRA, HIPAA, and ERISA-into clear functional specifications, user stories, and configuration requirements for QA and configuration teams.
• Serve as the main contact between clients, onshore stakeholders, and offshore delivery teams, managing priorities, scope, and UAT feedback.
• Mentor BAs, review deliverables for quality and domain accuracy, and drive process improvements throughout the project lifecycle.

Candidate Profile:

• Strong business analysis experience in US benefits administration is preferred.
• Candidates from the US health insurance or payer domain will also be considered, with knowledge of plan structures, eligibility and enrollment, EDI 834 files, claims basics, and HIPAA compliance.
• Payer-domain candidates should be able to learn employer-side benefits processes, including life events, open enrollment workflows, and benefits plan configuration.
• Ability to own requirements and solution design, produce clear functional documentation, coordinate UAT, and guide a BA team.

Note:
This is a W2 role only. Please Do not Apply - 1099/C2C Candidate