Do you thrive at the intersection of business complexity and technical delivery — turning ambiguous processes into the structured logic that makes AI systems actually work? ️ Join us to define how decisions get made, how workflows behave, and how AI solutions align with real operational reality.
Lead discovery sessions with SMEs and stakeholders to understand, challenge, and map complex business processes at both high-level and detailed operational levels
Define end-to-end decision logic, workflow behavior, exception handling, and validation criteria in close collaboration with client stakeholders, operations teams, and engineering
Actively define — together with engineers and stakeholders — the scope, boundaries, decision points, and expected behaviors of AI agents, copilots, and workflow automation solutions across claims, benefits, care management, and related domains
Structure and formalize business rules, operational criteria, and system behaviors from policies, SOPs, legacy systems, and stakeholder input into clear functional logic that technical teams can implement
Drive validation and testing efforts: define acceptance criteria, test scenarios, and evaluation approaches to ensure alignment with expected outcomes
Work directly with client stakeholders and cross-functional internal teams to refine requirements, resolve ambiguities, surface tradeoffs, and support prioritization throughout delivery
Maintain clear documentation of workflows, decision trees, business rules, system interactions, and expected outputs, ensuring shared understanding across all teams
5+ years of experience as a Functional Analyst, Business Analyst, Product Analyst, or similar role in insurance, healthcare, or other highly regulated, operations-intensive industries
Strong understanding of complex operational workflows such as claims, benefits administration, authorizations, case management, or back-office processes
Proven ability to break down complex business problems into structured workflows, decision logic, and actionable requirements — with sharp judgment around edge cases and exceptions
Advanced English, written and spoken, with direct experience working with North American or European clients and stakeholders
High autonomy, ownership, and comfort operating in ambiguous, fast-moving environments
