Healthcare Business Analyst - FHIR / HL7 Interoperability

Healthcare Business Analyst - FHIR / HL7 Interoperability Remote

The Business Analyst will play a critical role in enabling end to end interoperability solutions within the CMS ONC ecosystem. This position requires strong technical fluency across modern data engineering patterns, API-driven interoperability, and ELT/ETL workflows. The ideal candidate will support complex data pipelines, SmileCDR operations, and FHIR-based data exchange while partnering closely with engineering, architecture, compliance, and external customers. This role bridges business needs with technical executiontranslating requirements into data mappings, validating data flows, and supporting scalable, high reliability data integrations across clinical and administrative systems.

Key Responsibilities

• Data Pipelines & Integration Support
• Manage and support all ELT processes, ensuring data quality, reliability, and on time delivery across diverse source systems.
• Troubleshoot data pipeline failures, data quality exceptions, and ingestion issues across cloud and on prem environments.
• Oversee SmileCDR operations including configuration, deployment coordination, debugging, and monitoring to meet CMS ONC mandates.
• FHIR / HL7 Interoperability
• Perform detailed mapping of source data to FHIR R4 resources, profiles, and implementation guides (PDEx, Patient Access API, Provider Access API, etc.).
• Validate FHIR transactions and APIs via tools like Postman, SmileCDR, and custom validation frameworks.
• Technical Business Analysis & Requirements
• Partner with architects and engineers to translate business requirements into actionable data specifications, API requirements, and process workflows.
• Perform detailed impact assessments, system analysis, and data lineage documentation.
• Testing & Quality Assurance
• Conduct end to end validation of ELT pipelines, FHIR resources, API payloads, and cross-system data reconciliation.
• Support automated and manual testing for data accuracy, schema changes, and interoperability compliance.
• Customer & Stakeholder Engagement
• Collaborate with internal and external customers to gather requirements, define acceptance criteria, and guide solution design.
• Communicate complex data and interoperability concepts to both technical and non-technical audiences.
• Documentation & Governance
• Develop comprehensive documentation including data dictionaries, mapping documents, business rules, SOPs, and interoperability artifacts.
• Contribute to data governance, quality, and metadata initiatives aligned with CMS interoperability requirements.

Qualifications Required

• Education: Bachelor's degree in computer science, Information Systems, Data Management, or related field; Master's preferred.
• Experience: 5+ years as a Business Analyst with strong exposure to data engineering, APIs, interoperability, or healthcare data systems.
• Technical Skills:
• Strong knowledge of ELT processes, SQL, JSON, APIs, and data validation techniques.
• Hands on understanding of FHIR R4, HL7, and healthcare data (claims, clinical, member, provider, etc.).
• Experience with data mapping, transformation logic, and source to target specifications.
• Soft Skills: Excellent communication, structured problem solving, stakeholder engagement, documentation, and cross functional collaboration.