Senior Healthcare Business Analyst
Prophecy Technologies
Role Overview: The Senior Healthcare Business Analyst will serve as a crucial bridge between clinical stakeholders, business teams, and IT, translating complex clinical and operational needs into clear, actionable business and system requirements. This role involves partnering with various stakeholders to elicit, analyze, and document functional requirements, ensuring solutions align with healthcare regulations and standards. Key Responsibilities:
- Act as a liaison between clinical stakeholders, business teams, and IT, translating clinical and operational needs into clear business and system requirements.
- Partner with clinical, operational, and product stakeholders to elicit, analyze, and document business and functional requirements.
- Develop current-state and future-state process flows, workflows, and data flow diagrams.
- Translate requirements into functional specifications, user stories, and acceptance criteria for development teams.
- Analyze clinical workflows including Utilization Management, Care Management, Claims, and Provider interactions.
- Support system integrations involving APIs, File-based integrations, HL7/FHIR interfaces, and downstream reporting consumers.
- Participate in User Acceptance Testing (UAT) planning and execution, ensuring solutions meet clinical and regulatory needs.
- Identify gaps, risks, and opportunities for process optimization and system modernization.
- Ensure alignment with healthcare regulations and standards, including HIPAA, CMS, and Medicare guidelines.
- Act as a liaison between business SMEs, clinical users, and technical teams throughout the delivery lifecycle.
- 5+ years of experience as a Business Analyst in the healthcare/clinical domain.
- Strong understanding of clinical workflows and payer systems.
- Proficient experience with requirements elicitation, process modeling, and documentation.
- Working knowledge of healthcare data interoperability standards, specifically HL7.
- Experience supporting API-based and data-intensive healthcare applications.
- 10+ years overall experience.
- Working knowledge of FHIR.
Vacancy posted 16 hours ago
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