Business Analyst (Healthcare Payer)

Location: Louisville, KY

Salary: USD 45-50 / Hourly (C2C)

Employment Type: C2CCompany: SRI Tech Solutions

Role: Business Analyst (Healthcare Payer)

Required Qualifications: Bachelor's degree in Business Administration, Healthcare Administration, Information Systems, or a related field. Strong experience in healthcare payer operations and business analysis. Deep understanding of healthcare payer functions, including:o Enrollment and Eligibilityo Claims Processing and Adjudicationo Provider Network and Contract Managemento Utilization Managemento Care Managemento Customer Service Operationso Payment Integrityo Appeals and Grievances Experience gathering and documenting business and functional requirements. SRI Tech Solutions is an equal opportunity employer and does not discriminate on the basis of race, color, gender, religion, age, sexual orientation, national origin or citizenship status or ethnic origin, disability, marital status, veteran status, or any other occupationally irrelevant criteria. Strong analytical, communication, facilitation, and stakeholder management skills. Experience working in Agile and Waterfall delivery environments.

Preferred Qualifications: Experience with Medicare, Medicaid, Commercial, and Dual-Eligible healthcare programs. Knowledge of healthcare standards such as FHIR, HL7, EDI X12, HEDIS, STAR Ratings, and CMS regulations. Experience supporting payer modernization, digital transformation, data management, analytics, or AI-enabled initiatives. Familiarity with healthcare platforms such as Facets, QNXT, HealthRules, Epic, or related payer.