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Hiring For Senior Healthcare Business Analyst / Behavioral Health SME

Date Posted: Sep 22, 2026
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Job Detail

  • location_on
    Location Princeton, New Jersey, United States of America
  • desktop_windows
    Job Type: Contract
  • schedule
    Shift: Rotating
  • analytics
    Career Level: Experienced Professional
  • group
    Positions: 1
  • calendar_view_day
    Experience: 8 years
  • male
    Gender: No Preference
  • school
    Degree: Bachelors
  • calendar_month
    Apply Before: Oct 22, 2026
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Job Description

Key Requirements

  • 10+ years of Healthcare Payer experience with 5+ years in Behavioral Health (Mental Health & Substance Use Disorders).
  • Strong understanding of the end-to-end payer lifecycle:
  • Eligibility & Enrollment
  • Benefits Configuration
  • Claims Processing & Adjudication
  • Prior Authorization
  • Care & Case Management
  • Provider Management
  • Appeals & Grievances
  • Payment Integrity
  • Deep knowledge of Behavioral Health regulations, including:
  • MHPAEA (Mental Health Parity)
  • Medicare & Medicaid BH programs
  • HIPAA
  • CMS and State-specific regulatory requirements
  • NCQA/URAC standards
  • Strong Business Analysis skills:
  • Requirements gathering
  • BRD/FRD/User Stories
  • Process mapping
  • Gap analysis
  • UAT/SIT support
  • Stakeholder management
  • Experience with payer platforms such as Facets, QNXT, HealthRules, GuidingCare, TruCare, or similar.
  • Knowledge of healthcare transactions and interoperability standards:
  • 837, 835, 834, 270/271
  • HL7/FHIR
  • Strong SQL, data analysis, and system integration understanding.

Benefits

Applab Systems offers a mix of financial, career growth, and work-life benefits, with employees rating the company positively for skill development, flexible work policies, and international exposure. Reviews highlight strong training opportunities and a supportive culture, though job security and promotions are rated more critically.

Skills Required

Company Overview

AppLab Systems, Inc
Princeton, New Jersey, United States of America
1 Current Jobs Openings

Applab Systems was founded in 2011 and is headquartered in Princeton, New Jersey, USA. It has grown into a technology consulting and software engineering company specializing in custom application development, cloud strategy, data science, and Micros... Read More

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