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Role Description

We are seeking a strategic and analytically driven Business Analyst to join our Product Development team within a fast-growing Payment Integrity organization. This role sits at the intersection of product strategy, data, technology, and healthcare/payment operations.

Reporting directly to the VP of Product Development, you will partner closely with Product Managers, Engineering, Data Science, and Compliance teams to shape and deliver solutions that reduce waste, improve accuracy, and drive measurable value for customers.

You will leverage advanced analytics and AI tools to generate insights, inform decision-making, evaluate product performance, and identify new market opportunities. This is a highly visible role with direct influence on product strategy, business cases, and go-to-market outcomes.

Key Responsibilities

• Product Strategy & Planning
  • Partner with Product Managers to define product vision, roadmap priorities, and feature requirements
  • Translate business needs into clear, actionable requirements, user stories, and success metrics
  • Develop and manage business cases, ROI models, and cost-benefit analyses for new initiatives
• Analytics & Insights
  • Analyze product performance, customer usage, and operational data to identify trends and improvement opportunities
  • Design dashboards, KPIs, and reporting frameworks to measure product success
  • Leverage AI/ML tools and automation to accelerate analysis, forecasting, and decision support
  • Conduct market, competitive, and customer research to inform strategy
• Cross-Functional Collaboration
  • Work closely with Engineering and Data teams to ensure requirements are feasible and delivered effectively
  • Support sprint planning, backlog refinement, and release readiness
  • Act as a liaison between technical and non-technical stakeholders
• Market & Growth Opportunities
  • Identify new product opportunities, customer segments, and revenue streams
  • Evaluate industry trends, regulatory shifts, and emerging technologies
  • Recommend enhancements or new solutions aligned with payment integrity goals
• Compliance & Risk
  • Provide regulatory and compliance input throughout the product lifecycle
  • Ensure solutions align with healthcare, payer, and payment integrity standards
  • Partner with legal/compliance teams to assess risks and mitigation strategies

Qualifications

• 3+ years of experience in Business Analysis, Product, Strategy, or related role
• Experience in healthcare, payment integrity, claims, payer operations, or fintech strongly preferred
• Strong analytical skills with experience working with large datasets and BI tools (SQL, Excel, Tableau/Power BI, etc.)
• Familiarity with AI-enabled tools or advanced analytics platforms
• Proven ability to build business cases and quantify product impact
• Experience working in Agile product development environments
• Strong communication skills with the ability to translate complex concepts for varied audiences
• Ability to balance strategic thinking with execution
• Experience with predictive modeling or data science collaboration
• Knowledge of healthcare regulatory frameworks (CMS, HIPAA, etc.)