Senior Analyst US Healthcare Payer Domain - Tampa, FL | TCS Job

Must Have Technical/Functional Skills

We are seeking a highly experienced Senior Analyst with strong expertise in the US Healthcare Payer domain. The candidate will play a critical role in analyzing payer-side business processes including claims, enrollment, membership, and benefits, while collaborating with business and technology teams to deliver scalable healthcare solutions.

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Must-Have Technical / Functional Skills

Domain Expertise

•Strong experience in US Healthcare Payer domain(8 years)

•Deep understanding of: 

oClaims processing lifecycle

oEnrollment & Membership

oBenefits configuration

oBilling and provider interactions

Healthcare Data & Standards

•Knowledge of: 

oEDI Transactions (837, 835, 834)

oHL7 (good to have)

oFHIR standards (good to have)

•Understanding of HIPAA compliance requirements

Functional Expertise

•Strong experience in: 

oRequirement gathering and documentation

oBusiness process analysis

oAgile methodologies (Scrum/SAFe)

•Experience with tools: 

oJIRA / Rally / ALM

•Basic SQL for data validation and analysis

Preferred Skills

•Exposure to Medicare, Medicaid, and Commercial plans

•Experience with: 

oProvider & network management

oCare management workflows

oClaims adjudication and payment systems

•Experience collaborating with data, integration, and downstream systems

Salary Range: $100,000- $140,000 a year

TCS Employee Benefits Summary:

Discretionary Annual Incentive.

Comprehensive Medical Coverage: Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans.

Family Support: Maternal & Parental Leaves.

Insurance Options: Auto & Home Insurance, Identity Theft Protection.

Convenience & Professional Growth: Commuter Benefits & Certification & amp; Training Reimbursement.

Time Off: Vacation, Time Off, Sick Leave & Holidays.

Legal & Financial Assistance: Legal Assistance, 401K Plan, Performance Bonus, College Fund, Student Loan Refinancing.

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