Business Analyst

VITL is seeking an experienced Business Analyst to be the bridge between our business stakeholders and our technology teams. We are seeking candidates who share our values and believe in VITL’s mission, who will listen, synthesize and summarize stakeholders’ needs into cogent formats to support our systems development projects. This role will create clarity from ambiguity to drive project scoping and support execution and delivery through gathering, translating and documenting essential business and clinical requirements with attention to interoperability, data quality, and compliance guidelines. This is a Business Analyst–first role with embedded delivery and coordination responsibilities. The Business Analyst owns the integrity of requirements from conceptualization and elicitation through implementation, influences planning and sequencing decisions, and ensures initiatives are well-scoped, feasible, and aligned with VITL’s strategic goals. The ideal candidate will have meaningful experience with healthcare data standards, particularly HL7 FHIR, and a deep understanding of the clinical workflows that both deliver to and receive data from the Vermont Health Information Exchange (VHIE) through a variety of data exchange protocols. The Business Analyst exercises responsibilities and skills at SFIA level 5 (Skills Framework for the Information Age): Autonomy Works under broad direction. Work is often self-initiated. Is fully responsible for meeting allocated technical and/or project/supervisory objectives. Establishes milestones and has a significant role in the assignment of tasks and/or responsibilities. Influence Influences organization, customers, suppliers, partners and peers on the contribution of own specialism. Builds appropriate and effective business relationships. Makes decisions which impact the success of assigned work, i.e. results, deadlines and budget. Has significant influence over the allocation and management of resources appropriate to given assignments. Leads on user/customer collaboration throughout all stages of work. Ensures users’ needs are met consistently through each work stage. Complexity Performs an extensive range and variety of complex technical and/or professional work activities. Undertakes work which requires the application of fundamental principles in a wide and often unpredictable range of contexts. Understands the relationship between own specialism and wider customer/organizational requirements. Knowledge Is fully familiar with recognized industry bodies of knowledge both generic and specific. Actively seeks out new knowledge for own personal development and the mentoring or coaching of others. Develops a wider breadth of knowledge across the industry or business. Applies knowledge to help to define the standards which others will apply. Business skills Demonstrates leadership. Communicates effectively, both formally and informally. Facilitates collaboration between stakeholders who have diverse objectives. Analyses, designs, plans, executes and evaluates work to time, cost and quality targets. Analyses requirements and advises on scope and options for continuous operational improvement. Takes all requirements into account when making proposals. Demonstrates creativity, innovation and ethical thinking in applying solutions for the benefit of the customer/stakeholder. Advises on the available standards, methods, tools and applications relevant to own specialism and can make appropriate choices from alternatives. Maintains an awareness of developments in the industry. Takes initiative to keep skills up to date. Mentors colleagues. Assesses and evaluates risk. Proactively ensures security is appropriately addressed within their area by self and others. Engages or works with security specialists as necessary. Contributes to the security culture of the organization. Primary Responsibilities Lead complex requirements efforts across internal and external stakeholder groups and systems including VITL operation and clinical data subject matter experts, IT teams, external partners and the State of Vermont HIE team members. Translate ambiguous or competing needs into clear, prioritized requirements. Develop and own detailed documentation including Business Requirements Documents (BRDs), Functional Specifications, Data Mapping Documents, and Use Cases. Define and establish repeatable, analyst-owned processes to support consistent business analysis practices throughout VITL’s project lifecycle. Work closely with integration teams to define FHIR resource mappings and ensure accurate data transformation and validation. Support the design and testing of APIs and data interfaces, ensuring alignment with national and state-level interoperability frameworks. Maintain requirements traceability across the delivery lifecycle and facilitate User Acceptance Testing (UAT), including test planning, test case development, execution, reporting and defect tracking. Analyze business solutions and incorporate compliance with HIPAA, ONC, and other relevant healthcare data privacy and security regulations. Provide ongoing support during implementation and post-go-live stabilization phases. Supervision Received The position reports to the Director of VITL’s Project Management Office (PMO) Supervision Exercised This is an individual contributor role with accountability for establishing, maintaining, and evolving VITL’s business analysis standards, processes, and practices. While the role does not include direct people management, it serves as the functional owner of VITL’s business analysis approach and provides mentorship and guidance to peers, particularly in the adoption of new methods for requirements definition and process management. Job Impact Work performed in this position impacts thousands of users of the VITL system across the entire state of Vermont and into bordering states. The Business Analyst directly influences how effectively VITL delivers on its mission and how well its systems support healthcare providers and patients. The Business Analyst plays a critical role in ensuring VITL delivers high-quality, interoperable solutions by translating complex business and clinical needs into clear, actionable requirements that guide successful system development and implementation. The Business Analyst ensures that the right solutions are built correctly and deliver real value, making it a central driver of both operational success and VITL’s mission impact. The Business Analyst drives alignment across stakeholders, improves project outcomes, and ensures solutions meet regulatory, data quality, and interoperability standards. Timeline of work assigned is typically days to weeks with some projects lasting several months. Lead and manage complex, multi-stakeholder requirements efforts Translate ambiguous or conflicting needs into clear, prioritized requirements Maintain end-to-end ownership of requirements (elicitation to implementation to validation) Ensure requirements traceability throughout the lifecycle Establish and improve repeatable BA processes and standards and ensure consistency and rigor across project lifecycles Serve as the primary bridge between business, clinical, and technical teams Facilitate alignment across internal teams, external partners, and state entities Communicate complex concepts in clear, structured, and actionable formats Influence decisions on scope, sequencing, and priorities Technical fluency and the ability to communicate complex technical services to people with varying levels of technical understanding. Outstanding relationship management and professional communication skills, with successful experience in working with various stakeholders and organizations. Deep understanding of clinical workflows and data flow and the ability to connect technical requirements to real-world care delivery Analyze systems and workflows to identify gaps, risks, and improvements Support execution across design, build, testing, and implementation phases and collaborate closely with integration and development teams while also providing post-go-live support and stabilization Ensure delivered solutions meet business and clinical intent Create clarity from ambiguity in complex environments Work effectively with clinical SMEs and operational teams Ensure initiatives are feasible, well-scoped, and aligned to VITL’s mission Take accountability for quality and success of deliverables Personal qualities of integrity, credibility and commitment to VITL’s mission. Qualifications Required: 5+ years of experience as a Business Analyst in healthcare IT or clinical data integration projects. Strong knowledge of HL7 standards, especially FHIR (R4 or later), and experience working with EHR systems (e.g., Epic, Cerner, Meditech). Familiarity with clinical terminologies such as SNOMED CT, LOINC, and ICD-10. Proficiency in data analysis and mapping using tools like SQL, Excel, or data profiling platforms. Excellent communication, documentation, and stakeholder engagement skills. Experience with Agile or hybrid project methodologies. Preferred: Experience working on HIE platforms or public health data exchange initiatives. Knowledge of TEFCA, USCDI, and other national interoperability initiatives. Certification in Business Analysis (e.g., CBAP) or Health IT (e.g., CPHIMS, HL7 FHIR Proficiency). Familiarity with various systems delivery methodologies including waterfall, iterative, and agile SCRUM approaches Additional VITL is an equal opportunity employer and prohibits discrimination or harassment of any kind. We are committed to compliance with all applicable fair employment practices laws and a policy of equal opportunity without regard to race, gender, color, religion, sex, sexual orientation, gender identity, age, national origin, place of birth, crime victim status, ancestry, physical or mental condition, disability, pregnancy, citizenship or immigration status, status as a veteran, military service or obligation, a positive test result from an HIV-related blood test, genetic information, or any other characteristic protected by such laws (“Protected Characteristics”). VITL’s policy of anti-discrimination applies to all terms and conditions of employment, including but not limited to recruiting, hiring, training, compensation, benefits, advancement, and termination of employment. VITL prohibits and does not tolerate discrimination against any employee, applicant, worker, or service provider on the basis of any Protected Characteristic. Salary Range The approved salary range for this position is $90-100K annually. #J-18808-Ljbffr Vermont Information Technology Leaders