Business Analyst

Fractal Labs
New York
Workplace: RemoteFull timeFunction: Business OperationsExperience: 6-10 yearsSkills: ["Communication","Problem-solving","Analytical"]

Experienced Healthcare Business Analyst focused on Provider Networks and Care Management, partnering with clinical, network, operations, IT, and analytics teams to translate business needs into clear requirements. Analyzes provider networks, care management workflows, and regulatory reporting to improve clinical outcomes, operational efficiency, and cost management in payer operations. Works across BRDs/FRDs, UAT, and data initiatives to support system enhancements.

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FursaFursa
Fractal Labs
Fractal Labs
5 months ago

Business Analyst

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI
Status: Live
Reposted: similar role first listed 9 months ago

Job Summary

Experienced Healthcare Business Analyst focused on Provider Networks and Care Management, partnering with clinical, network, operations, IT, and analytics teams to translate business needs into clear requirements. Analyzes provider networks, care management workflows, and regulatory reporting to improve clinical outcomes, operational efficiency, and cost management in payer operations. Works across BRDs/FRDs, UAT, and data initiatives to support system enhancements.
Location: New York
Workplace: Remote
Employment Type: Full time
Job Function: Business Operations

Key Responsibilities

  • •Provider Network Analysis: Analyze provider network operations including contracting, credentialing, directory management, network adequacy, and access standards.
  • •Care Management & Clinical Programs: Analyze Care Management workflows, including utilization management, case management, disease management, and population health programs; translate clinical and operational needs into clear business and system requirements.
  • •Data, Reporting & Compliance: Analyze healthcare data related to cost, utilization, quality, risk stratification, and provider performance; support regulatory reporting and ensure alignment with healthcare standards.
  • •Business & Systems Analysis: Conduct stakeholder interviews/workshops; develop BRDs/FRDs, process flows, and user stories; support system enhancements and data initiatives; validate solutions through UAT.
  • •Soft Skills: Strong communication with clinical, business, and technical stakeholders; analytical mindset; ability to manage multiple priorities in a fast-paced environment.

Pay and Benefits

Perks:Health InsuranceDentalVision401kParental Leave

Key Requirements

  • •6–10+ years of experience as a Business Analyst in healthcare
  • •Strong hands-on experience with Provider Network operations and Care Management programs
  • •Experience working with payer systems or healthcare platforms supporting network and care management functions
  • •Requirement elicitation and documentation (BRD, FRD, user stories); process modeling using Visio/Lucidchart/BPMN
  • •Data analysis using SQL, Excel, or BI tools; familiarity with care management systems and claims platforms
Experience:6-10 yearsHealthcare
Skills:CommunicationProblem-solvingAnalytical
Certifications:PMI-PBACBAPCCBA
Tech Stack:SQLExcelBI toolsVisioLucidchartBPMN

Company Brief

Fractal Labs
Provides AI-driven analytics, decision intelligence, and engineering solutions to Fortune 500 companies, helping enterprises apply advanced analytics and machine learning for marketing, supply chain, finance, and customer experience transformation.
Industry: Consulting
Company Size: Enterprise (1,001+ employees)
Growth: Established Company
Headquarters: New York, United States
Founded: 2000
WebsiteLinkedIn