Business Analyst

Job Description

Job Description

About Agadia

We specialize in healthcare management technology and offer our clients a suite of utilization management software solutions. Our mission is dedicated to improving the quality of care and expediting the delivery of healthcare services by advancing and automating utilization management processes. We are based in Parsippany, NJ, with clients across the United States.

As we grow, we seek a detail-oriented, self-motivated, independent Business Analyst with strong domain expertise in FHIR (Fast Healthcare Interoperability Resources), Electronic Medical Records (EMR), and Healthcare Interoperability.

Key Experience Areas:

• FHIR Standards & API Integration:
  • Proven experience working with HL7 FHIR specifications, including resource modeling, API design, and implementation for clinical data exchange.
  • Lead requirements gathering and gap analysis for FHIR-based APIs to support patient data exchange across systems.
  • Collaborated with development teams to define resource mappings and ensure compliance with HL7 standards.
  • Participated in testing and validating FHIR endpoints for clinical and administrative data.
• EMR Systems:
  • Hands-on experience with leading EMR platforms like Epic, Cerner, or Allscripts. Ability to analyze workflows, extract structured/unstructured data, and support integration efforts.
  • Worked with multiple EMR platforms (e.g., Epic, Cerner, Allscripts) to extract and normalize patient data for downstream processing.
  • Defined workflows for integrating EMR data into analytics platforms and care coordination tools.
  • Partnered with clinical stakeholders to ensure EMR configurations aligned with operational needs and regulatory requirements.
• Healthcare Interoperability:
  • Deep understanding of interoperability frameworks, including CMS and ONC mandates, 21st Century Cures Act compliance, and payer-provider data exchange. Experience facilitating seamless data flow across systems using secure protocols and standardized formats.
  • Supported initiatives aligned with CMS and ONC interoperability mandates, including 21st Century Cures Act compliance.
  • Facilitated data exchange between payers, providers, and third-party applications using APIs and secure transport protocols.
  • Conducted impact assessments and documentation for interoperability enhancements, including patient access and provider directory services.
• Business Analysis Skills:
  • Strong capabilities in requirements gathering, stakeholder engagement, process mapping, and documentation. Experience working in Agile environments and collaborating with cross-functional teams including developers, QA, and product owners.

• Strong verbal and written communication skills
• Familiarity with utilization management processes, preferably prior authorization within all lines of business
• Experience working with health plans, PBM, and specialty pharmacies is a plus.
• Problem-solving and business analysis skills with strong attention to detail
• Strong execution skills
• Highly organized and flexible
• Team Player

• Three plus years working as a Business Analyst
• Bachelor's Degree required.
• Experience working with MS Office products.
• Authorized to work in the USA without Sponsorship or Restrictions.

Please note: The Salary range is based on our market pay structure & includes benefits (Medical, Dental, Vision, life Insurance, 401 & PTO, etc.).

Key Competencies

Communicates effectively – Attentively listens to others, provides timely and helpful information, and is effective in various professional settings. Demonstrates excellent oral and written communication skills. Able to communicate effectively with all levels of the organization, from staff to senior leadership.

Being resilient - Demonstrates grace under pressure; maintains a positive attitude in adversity and rebounds from setbacks.

Manages complexity - Makes sense of complex, high quantity, and sometimes contradictory information to effectively solve problems. Has strong organizational skills and can manage multiple projects at once.
Ensures Accountability - Follows through on commitments and ensures others do the same. Able to work independently and as part of a team