Business Analyst

Senior Business Analyst – Healthcare Interoperability & Data Integration

We are seeking an experienced Senior Business Analyst with 8–10 years of expertise in healthcare IT, interoperability, and data analytics to lead complex business and technical initiatives. This role will drive requirements gathering, solution design, and stakeholder collaboration across business and IT teams while serving as a subject matter expert in healthcare data exchange standards.

Key Responsibilities:

• Lead end-to-end requirements discovery, analysis, and documentation.
• Act as an SME for healthcare interoperability standards including HL7, FHIR, CCD, ADT, and related clinical data exchanges.
• Perform hands-on data analysis, validation, and troubleshooting using SQL, Databricks, and other data tools.
• Create business requirements, source-to-target mappings, process flows, business rules, and technical specifications.
• Support testing and quality assurance activities to ensure data accuracy and compliance.
• Collaborate with internal teams, vendors, and external partners to drive successful implementations.
• Mentor junior business analysts and promote best practices in analysis and documentation.
• Partner with stakeholders across healthcare operations, including Claims, Enrollment, Care Management, Quality/HEDIS, Risk Adjustment, and Utilization Management.

Required Qualifications:

• 8–10 years of experience in Healthcare IT, Data Integration, or Business Analysis.
• Strong knowledge of HL7, FHIR, CCD, ADT, SIU, and healthcare terminologies (ICD-10, CPT, LOINC).
• Advanced SQL skills and experience with Databricks and data validation methodologies.
• Experience with Agile delivery frameworks and tools such as Azure DevOps or Jira.
• Understanding of managed care operations, including HEDIS, Prior Authorizations, Claims, and Quality programs.
• Excellent analytical, communication, stakeholder management, and problem-solving skills.
• Bachelor's degree or equivalent experience.

Preferred:

• Experience working with HEDIS data and quality reporting initiatives.
• Proven ability to work independently, influence decision-making, and communicate effectively with senior leadership.