Healthcare Business Analyst

The United States healthcare industry is undergoing rapid transformation fueled by regulatory changes, digital modernization, and the growing demand for data-driven decision-making. As healthcare organizations strive to improve patient outcomes, reduce costs, and ensure regulatory compliance, the role of a skilled Business Analyst (BA) has become critical to bridging the gap between clinical operations, IT systems, and business strategy.

Skillcubator’s Healthcare Business Analyst Training and Placement Program is designed to equip aspiring professionals with the functional knowledge, analytical tools, and domain expertise required to succeed in this high-impact role. This program provides comprehensive training in healthcare operations, payer-provider ecosystems, industry regulations like HIPAA and CMS, EHR systems, claims processing, and business analysis methodologies tailored to the healthcare domain.

Through a blend of hands-on project simulations, real-time case studies, and job readiness preparation, this program empowers participants to confidently step into BA roles across healthcare providers, insurance companies, Health tech startups, and consulting firms. Whether you’re transitioning into healthcare from another domain or starting fresh, this course offers a strong foundation and pathway to placement in the growing US healthcare analytics and IT landscape.

If you are looking to transition into a business analyst career within healthcare business domain with a goal to build a rewarding career, this program is the best fit for you.

If you want to switch to the IT domain and start your career in the business analysis field.
If you have worked in healthcare business domain (roles such as Registered Nurse, Office Administration/Billing Department at medical office, Medical Insurance Agent with a medical insurance company but lack business analysis knowledge.
If you are already into the IT domain as either developer, tester, technical writer, etc. but want a role transition as a business analyst in healthcare business domain.
If you are an entry-level business analyst in healthcare business domain or lack the confidence and courage to work as a business analyst.

1.0 Business Analysis Fundamentals

1.1 What is business analysis?
1.2 Who is a business analyst?
1.3 Importance of business analyst.
1.4 Real-world business analyst use cases.
1.5 A typical day of a business analyst.

2.0 Project Management Overview

2.1 What is a project?
2.2 What is project management?
2.3 Understanding the ‘Iron Triangle’.
2.4 What are the different phases of a project?
2.5 Understanding various knowledge areas and processes within each of them.
2.6 Reviewing key project management artifacts.
2.7 Project scope v/s Product scope.
2.8 Creating ‘Project Plan’ (schedule) using Gantter tool.

3.0 Key Management Concepts

3.1 Value chain.
3.2 Lean methodology.
3.3 Kanban.
3.4 Poka-Yoke.
3.5 Core Competency.
3.6 Kaizen.
3.7 Business Process Re-engineering.
3.8 Business Process Improvement.

4.0 Understanding Stakeholder Landscape

4.1 Primary v/s Secondary stakeholder.
4.2 Active v/s Passive stakeholder.
4.3 Understanding various types of stakeholders via a live case study.
4.4 What are the different organizational structures?
4.5 Creating ‘RACI’ matrix using MS Excel.
4.6 Creating ‘Organizational Structures’ using MS Visio, Lucid Chart, Gliffy, or Visual Paradigm.

5.0 Understanding different types of requirements

5.1 What is a requirement?
5.2 Understanding different types of requirements.
5.3 Business need.
5.4 Stakeholder requirement.
5.5 Functional.
5.6 Non-Functional.
5.7 Interface.
5.8 Graphical User Interface.
5.9 Business rules.

6.0 What is Software Development Lifecycle?

6.1 Understanding the different phases of an SDLC.
6.2 Role of a business analyst in each of the SDLC phases.
6.3 Learning and comparing (a) Predictive (b) Iterative and Incremental and (c) Adaptive SDLC models.

7.0 Reviewing Different Software Engineering Models

7.1 Waterfall.
7.2 Spiral.
7.3 Rapid Application Development (RAD).
7.4 Rational Unified Process (RUP).
7.5 SCRUM (More emphasis will be given on SCRUM).

8.0 Requirements Lifecycle

8.1 Requirements elicitation.
8.2 Requirements analysis.
8.3 Requirements documentation.
8.4 Solution assessment.
8.5 Requirements management.

9.0 Requirements Elicitation

9.1 What is requirements elicitation?
9.2 Understanding various requirements elicitation techniques.
9.3 Brainstorming.
9.4 Focus Group.
9.5 Requirements Workshops.
9.6 Interviews.
9.7 Questionnaire/Survey.
9.8 Document Analysis.
9.9 Prototyping.
9.10 Pros and Cons of each of the requirements elicitation techniques.

10.0 Business Requirements Analysis

10.1 SWOT analysis technique.
10.2 RCA (Root Cause Analysis) technique.
10.3 Five whys.
10.4 Fishbone (Ishikawa).
10.5 Business Process Management.
10.6 What is Business Process Management (BPM)?
10.7 What is Business Process Modeling?
10.8 Understanding various business process modeling notations.
10.9 How to create a business process model?
10.10 Creating ‘As-Is’ (Current State) and ‘To-Be’ (Future State) business process model using MS Visio/Lucid chart/Gliffy tools.
10.11 Creating ‘Root Cause Analysis’ diagram using MS Visio/Lucid chart/Gliffy tools.

11.0 System Requirements Analysis

11.1 What is System Context Diagram?
11.2 Creating System Context Diagram using MS Visio/Lucid chart/Gliffy tools (Hands-On Exercise).
11.3 Object Oriented Concepts.
11.4 What is Unified Modeling Language (UML)?
11.5 Use Case Diagrams.
11.6 Activity Diagrams.
11.7 State Chart/State Machine Diagrams.
11.8 Sequence Diagrams.
11.9 Creating all UML models (mentioned above) using MS Visio/Lucid chart/Gliffy tools.
11.10 What is ‘Functional Requirements Document’ (FRD) and writing FRD using MS Word.
11.11 What is a Use Case Specification?
11.12 Writing a Use Case Specification Document using MS Word (Hands-On Exercise).
11.13 Creating Data Dictionary using MS Word (Hands-On Exercise).
11.14 Creating Business Rules Document using MS Excel (Hands-On Exercise).

12.0 Scrum

12.1 What is ‘Agile Software Development?
12.2 Understanding various ‘Agile Software Development’ practices/models.
12.3 What is SCRUM?
12.4 What is ‘Agile Manifesto’?
12.5 Different roles in a SCRUM.
12.6 Role of a business analyst in a SCRUM.
12.7 Understanding various ‘Ceremonies’ in a SCRUM.
12.8 Writing Features-Epics-User stories using JIRA tool (Hands-On Exercise).
12.9 Writing ‘Acceptance Criteria’ using Gherkin syntax (Given-When-Then) using JIRA tool (Hands-On Exercise).
12.10 How to estimate a user story and add user story attributes in a JIRA tool (Hands-On Exercise)?
12.11 What is a team velocity?
12.12 Understanding burndown/burnup chart and how to create using MS Excel and/or JIRA tool.
12.13 How to initiate, execute and close sprints/iterations using JIRA tool using JIRA tool? (Hands-On Exercise).
12.14 Various techniques on splitting an EPIC into small user stories.
12.15 How to create wireframes/mockups using Balsamiq tool?

13.0 Structured Query Language (SQL)

13.1 What is database?
13.2 What is a table (column/row) in a database?
13.3 What is Entity Relationship Diagram (ERD)?
13.4 How to create an ERD diagram using Visio? (Hands-On Exercise).
13.5 Understanding database schema.
13.6 What is datatype?
13.7 What is SQL?
13.8 Write SQL queries (Hands-On Exercise).

14.0 Requirements Management

14.1 What is requirements management?
14.2 Understanding ‘Requirements Management Plan’ (RMP).
14.3 What is Requirements Traceability Matrix (RTM)?
14.4 Creating an RTM using DOORS/ MS Excel tool (Hands-On Exercise).

15.0 Requirements Estimation

15.1 Why to estimate requirements and importance of estimating software requirements?
15.2 Overview of different software requirements estimating models.
15.3 Understanding ‘Industry Best Practices’ to estimate a requirement.

16.0 Configuration Management

16.1 What is configuration management?
16.2 Benefits of configuration management.
16.3 Applying CM using tortoise SVN tool (Hands-On Exercise).

17.0 Change Control

17.1 What is change control board (CCB)?
17.2 Role of a business analyst in a CCB process.

18.0 Quality Assurance

18.1 What is quality assurance?
18.2 Different types of testing models.
18.3 Role of a business analyst in quality assurance/testing phase.

19.0 Miscellaneous Topics

19.1 What is Service-Oriented Architecture?
19.2 What is Cloud Computing and various cloud computing models?
19.3 What is Business Process Model and Notation (BPMN)?
19.4 Creating BPMN model using MS Visio tool (Hands-On Exercise).

1.0 Introduction to US Healthcare System

1.1 Overview of US Healthcare (Payers, Providers, PBMs).
1.2 Public vs Private Insurance (Medicare, Medicaid, ACA).
1.3 Key healthcare stakeholders and regulations (HIPAA, HSS, HITECH, CMS).
1.4 Current trends in US Healthcare (value-based care, telehealth, interoperability).

2.0 Healthcare Terminologies & Standards

2.1 ICD, CPT, HCPCS codes and usage.
2.2 HL7, FHIR, EDI 837/835 standards.
2.3 Claims processing lifecycle.
2.4 Electronic Health Records (EHR) and EMR systems.
2.5 Understanding SNOMED CT and LOINC.
2.6 Premium, Deductible, Copayment (Copay), Coinsurance, Out-of-Pocket Maximum, Payer, and Provider.
2.7 Healthcare provider types (PCP, Specialist).
2.8In-Network v/s Out-of-Network.

3.0 Healthcare Business Process Flows:

3.1 Patient Registration and Appointment Scheduling Workflow.
3.2 Patient Appointment Scheduling Workflow.
3.3 Patient Check Eligibility Workflow.
3.4 Patient Billing and Collections Workflow.
3.5 Provider Claim Submission Workflow.
3.6 Payer Process and Response Workflow.
3.7 Provider Check Claim Workflow.
3.8 Provider Prior Authorization Request Workflow.
3.9 Claim Adjudication And Remittance Workflow.
3.10 Claim Status Inquiry Workflow.

4.0 Electronic Data Interchange (EDI) Transactions

4.1 EDI 270/271: Eligibility Inquiry and Response.
4.2 EDI 276/277: Claim Status Inquiry and Response.
4.3 EDI 278: Referral Authorization Request and Response.
4.4 EDI 837: Healthcare Claim.
4.5 EDI 835: Healthcare Payment and Remittance Advice.
4.6 EDI 834: Benefit Enrollment and Maintenance.
4.7 EDI 820: Payroll Deducted and Other Group Premium Payments.
4.8 EDI 999: Implementation Acknowledgement.
4.9 EDI 277CA: Claim Acknowledgement.
4.10 EDI 275: Additional Information to Support Healthcare Claims.
4.11 EDI 824: Application Advice.
4.12 EDI 997: Functional Acknowledgement.

5.0 Healthcare Data Analysis

5.1 Introduction to healthcare data types (clinical, administrative, claims).
5.2 Data mapping and transformation (ETL basics).
5.3 Introduction to SQL and Excel for healthcare reporting.
5.4 Analyzing KPIs: LOS, Readmission Rates, HEDIS, etc.

6.0 Healthcare IT Systems and Tools

6.1 Overview of popular EMR/EHR systems (Epic, Cerner, Allscripts).
6.2 Introduction to Health Information Exchanges (HIE).
6.3 HIPAA Privacy and Security Rules.
6.4 BA responsibilities in PHI handling and compliance checks.
6.5 Security risk assessments and documentation.
6.6 Audit trail and user access control in systems.

7.0 Real-Time Healthcare Project Simulation

7.1 Live case study: Claims processing system enhancement.
7.2 Creating BRD/FRD for EHR integration.
7.3 Mock sessions: Requirements walkthrough, user story writing.
7.4 Test case preparation, execution & validation.

8.0 Resume Building & Placement Support

8.1 Crafting resumes tailored for US Healthcare BA roles.
8.2 LinkedIn profile optimization.
8.3 Mock interview sessions and Q&A.
8.4 Job search strategies and recruiter networking.

9.0 Final Deliverables

9.1 Healthcare BA Project Templates (BRD, RTM, Test Scenarios).
9.2 Certificate of Completion from Skillcubator.
9.3 Mock Interview Feedback Report.
9.4 Project Cheat Sheets (Real-time Project Experience Documentation).

Training Program as per Latest Industry Demand.
IIBA Endorsed Education Provider.
Access to Learning Management System (LMS).
Free PSM-I and PSPO-I training are included in the package.
40 PDUs/CDUs.
IIBA Certified Instructors with 20 plus years of experience.
Plenty of case studies, In-Class exercises, quizzes, and take-home assignments.
10 Plus Industry-Standard tools.
Personalized Resume, LinkedIn Profile makeover and Cover Letter.
Course aligned to IIBA’s BABOK 3.0 and PMI’s body of knowledge.
Comprehensive Capstone project.
Experiential learning through case studies.

Microsoft Office (Word, Excel, PowerPoint).
Microsoft Visio, Gliffy, Lucidchart.
Bizagi, Camunda, Bonita, Signavio, Draw.io.
Microsoft Project, Product Plan, Gantter.
Balsamiq, Mockflow.
Jira.
Confluence.
Tortoise SVN.
Oracle.
Kanbantool, backlog.com, or similar Kanban tool.

Mirth Connect (NextGen Connect).
EDIValidator.
Talend Open Studio.
CMS.gov tools.
Availability Essentials.
Microsoft Excel.
Power BI.
Data.gov.

[Please Note: Some of the healthcare-related software are only accessible to employees via proper authentication and authorization protocols. In that case, Skillcubator will arrange for a demo and/or content, which is available in the public domain without violating copyright and/or confidentiality agreements]

This course will be taught by an experienced Healthcare Business Analyst with 15 plus years of teaching experience.

This program is designed to equip aspiring business analysts with the knowledge and hands-on skills needed to analyze, document, and manage business requirements within healthcare business domain. Healthcare business analysis is a niche segment where one has to know specifics of healthcare system in addition to business analysis.

If you are looking to transition into a business analyst career within healthcare business domain with a goal to build a rewarding career, this program is the best fit for you.

If you want to switch to the IT domain and start your career in the business analysis field.
If you have worked in healthcare business domain (roles such as Registered Nurse, Office Administration/Billing Department at medical office, Medical Insurance Agent with a medical insurance company but lack business analysis knowledge.
If you are already into the IT domain as either developer, tester, technical writer, etc. but want a role transition as a business analyst in healthcare business domain.
If you are an entry-level business analyst in healthcare business domain or lack the confidence and courage to work as a business analyst.

No. Technical background is not mandatory. This training will cover all aspects of business analysis and healthcare business domain and make you job ready to work as a Business Analyst on a healthcare project.

While the basics of healthcare system are same across USA and Canada, both countries have separate regulatory bodies, which governs it’s respective healthcare system and hence, there are some nuances in how USA’s healthcare system works as compared to Canada’s healthcare system.

Healthcare Business Analysis Scope in USA

Market Demand

The demand for Healthcare Business Analysts in the USA is strong and growing steadily, driven by a confluence of healthcare reform, digitization, and the need for efficiency and compliance in a highly regulated environment. Here’s a breakdown of the current demand and contributing factors:

The U.S. healthcare industry is valued at over $4 trillion, and business analysts play a crucial role in improving cost-efficiency, quality of care, and operational workflows.
Healthcare Business Analysts are in consistent demand across payers, providers, vendors, and government agencies.

Job Outlook

Thousands of jobs are available across USA.
Remote and hybrid roles are widely available.
Overall employment in healthcare occupations is projected to grow much faster than average from 2023 to 2033, with 1.9 million openings annually from growth and turnover.
Healthcare roles, especially technology-driven such as Healthcare Business Analyst and other similar roles are expected to grow at the rate of 16% annually from 2023 to 2033—well ahead of the 4% average.

Salary Range (USA)

Entry-level: $70,000 – $90,000/year.
Mid-level: $85,000 – $140,000/year.
Senior-level / Lead BA / Consultant: $120,000 – $150,000+/year.
Salaries may be higher in tech hubs like San Francisco, New York, Austin, or Seattle.
Contract roles often pay $ 50 – $ 100 per hour depending on the skills and location.

There are plenty of career opportunities such as IT Project Manager, Program Manager, Scrum Master, Product Owner, Product Manager, Healthcare SME (Subject Matter Expert) and any suitable role in PMO (Project Management Office).

Truly speaking, there are no prerequisites to become a successful Healthcare Business Analyst. But it would be nice to have the following to become a successful business analyst:

Basic computing skills (MS Office like Word, Excel and PowerPoint).
Decent communication skills (verbal and writing in English).
Comfortable talking to people.
Normal analytical skills.

If you have these four things, we guarantee to transform you into a Healthcare Business Analyst.

This program is ideal for:

Aspiring individuals, seeking to start their career as a Business Analysts in Healthcare business domain.
Individuals with a background in business, IT, or related fields who are looking for job-oriented training in a fast-growing domain.
Those transitioning from non-technical roles (e.g., Registered Nurse, Office Associate, Customer Service, Sales, Marketing) into tech space.
Business Analysts seeking to specialize in Healthcare projects.
IT professionals who are looking to transition into functional role.
Professionals already in BA roles who want to specialize in Healthcare-based projects.
Project Managers, Scrum Masters, or Product Owners involved in Healthcare implementations.
Team members on Agile delivery teams who need to understand user stories, acceptance criteria, and project capabilities.

Please visit the course page to review the list of topics covered in this training.

View course outline

Yes. The program includes guided labs, real-time case studies, and access to different tools/software which are used within Healthcare Business Analysis, for hands-on practice.

You will work on simulated end-to-end Healthcare implementation projects.

Duration: Typically, 8–10 weeks.
Format: Live instructor-led sessions (online), self-paced learning modules, and assignments.
Schedule: Evening and weekend batches available.

Yes. Skillcubator offers comprehensive placement support, including:

Professional resume preparation
Cover Letters.
Unlimited mock interviews.
LinkedIn optimization.
Resume marketing through our in-house recruiters and partner network.
Background check support.
On-the-project mentoring, coaching and guidance.

Yes. Skillcubator Training Institute is a ‘Premium-Level Endorsed Education Provider (EPP) from IIBA.org. After successfully completing the training program, participants will receive a ‘Certificate of Completion’ from Skillcubator with an IIBA seal on it, which can be shared on LinkedIn and included in resumes. Additionally, participants can claim 40 PDUs/CDUs towards any of the business analysis certifications offered by IIBA.

Please visit the course page to know more about the fee structure and enrollment options. Alternatively, you can contact Skillcubator directly through www.skillcubator.com for detailed pricing, enrollment assistance, and upcoming batch information.

Please visit the course page to know more about the list of tools/software that are used for this training program.

View Software / Tools used for this training

No. There is no additional cost to install and use the tools/software that will be used for this training.

Not at all. There is no coding/programming skills required to become a successful Healthcare Business Analyst.

Yes. We offer comprehensive placement assistance, including: