Hiring: Business Analyst Company: Vidorra Consulting Group Location: Kennesaw, GA Job Posted Time: 2026-09-10 12:48:41 Employment Type: Full-time Target Skills & Keywords : Agile, Azure DevOps, Business Analysis, HIPAA, Jira, Project Management, Requirements Management, SQL, Scrum, Stakeholder Management About the job Experience: •10 years of experience as a Business Analyst on data or US health Insurance domain experience •7 years of experience in US Health Insurance, Stop-Loss, TPA, Payer, Claims, or Data Platform programs •10+ years in requirements management, stakeholder engagement, business process analysis, and backlog refinement •5+ years defining complex business rules, eligibility criteria, rule catalogs, and data governance requirements •5+ years in claims data quality, reconciliation, duplicate detection, record matching, and entity resolution Required Skills: •Write and maintain the rule set that governs how claims data is cleaned, standardised, and combined including how corrections, reversals and duplicate claims are handled •Own the project backlog. Work with customer Product Owner, stakeholders, SMEs, and WinWire team to iteratively refine the backlog to ensure it meets the customer requirements •Partner cross-functionally with WinWire Project Manager to identify and escalate scope creep and schedule/timeline risks •Define the rules for deciding whether two records describe the same person, and where the system should stop and ask a human •Define the eligibility rules: what information is required for each type of member, where the system should look for it internally before asking the provider, and what triggers a follow-up •Facilitate regular working sessions with business and claims SMEs to align on requirements, validate business rules, and ensure timely decision-making •Perform gap analysis between documented requirements, current-state processes, and proposed solutions, proactively identifying risks, ambiguities, and improvement opportunities •Define baseline operational metrics and success measures to quantify business outcomes, efficiency gains, and platform value realization Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!