Hiring: Claims Management Platform BA Company: Falcon Smart IT (FalconSmartIT) Location: Atlanta, GA Job Posted Time: 2026-09-17 14:13:00 Employment Type: On-site Target Skills & Keywords : Agile, Azure DevOps, HIPAA, Jira, Project Management, Requirements Management, SQL, Scrum, Stakeholder Management About the job Experience: •10+ years of experience as a Senior Business Analyst on data or US Health Insurance domain experience. •8+ years of experience in US Health Insurance, Stop-Loss, TPA, Payer, Claims, or Data Platform programs. •10+ years in requirements management •5+ years defining complex business rules eligibility criteria, rule catalogues, and data governance requirements. •5+ years in claims data quality reconciliation, duplicate detection, record matching, and entity resolution Required Skills: •Communicate effectively with stakeholders. Use clear verbal, written (emails, documentation), and instant messaging approaches to ensure alignment. •Build and maintain productive relationships across cross-functional teams. Provide constructive feedback during requirement workshops and be open to stakeholder input. •Strong analytical mindset to evaluate process flows. Ability to troubleshoot requirement gaps, compliance risks, and process inefficiencies. •Prior experience working in Agile/Scrum projects with tools like Jira or Azure DevOps. Provide regular updates, demonstrate proactivity, and show due diligence in carrying out responsibilities. •Skilled in facilitating workshops, UAT sessions, and requirement walkthroughs. Act as a liaison between business and technical teams, ensuring clarity and consensus. •It ensures regulatory confidence by embedding HIPAA requirement. •It drives operational efficiency by reducing manual data transfers, enabling secure vendor collaboration, and standardising workflows. •It enables analytics readiness by defining requirements for dashboards, scorecards, and validated pipelines in Microsoft Fabric and Power BI. 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!