Harika Narala

About Harika Narala

Healthcare Business Analyst with hands-on experience across U.S. healthcare payer and health-tech environments, specializing in Medicaid and Medicare workflows, patient engagement platforms, and regulatory-compliant system delivery. Strong ability to translate complex clinical, claims, and operational requirements into clear functional specifications, user stories, and process models. Experienced in supporting claims processing, provider enrollment, patient portals, and telehealth solutions while ensuring HIPAA compliance and data integrity. Proven contributor in Agile environments, UAT leadership, healthcare interoperability, and end-to-end workflow optimization—driving efficient system adoption, improved user experience, and reliable healthcare operations.

Experience

1. Healthcare Business Analyst

   Catholic Health

   Aug 2024 — Present · Melville, NY, US

   Elicit, document, and validate Medicaid and Medicare business requirements for claims processing and provider enrollment workflowsDevelop functional specifications, business requirements documents (BRDs), process flows, and Requirements Traceability Matrices (RTMs) aligned with SDLC standardsDocument business processes for claims adjudication, managed care operations, and provider eligibility transactionsLead User Acceptance Testing (UAT) by designing, executing, and validating test cases with business stakeholdersIdentify system gaps and operational inefficiencies across claims and eligibility platforms and recommend process improvementsAct as liaison between business users and technical teams to ensure accurate requirement interpretationFacilitate requirements workshops, design sessions, system walkthroughs, and demosDocument end-to-end workflows for Fee-for-Service (FFS) and Managed Care Organization (MCO) payment generationMonitor project milestones, risks, issues, and status updates for leadership reporting

Education

• Vijaya Institute of Pharmaceutical Sciences for Women, Enkepadu, Vijayawada-521108(CC-7N)

  Bachelor's degree, Pharmaceutical Sciences

• Adelphi University

  Master's degree, Health informatics