Business Analyst

ShiftCode Analytics

Sr. Clinical Business Analyst

Reston, VA - local Remote

This position is 100% and is a 12-month contract with possible extensions. Client is seeking a Clinical-focused Business Analyst to support a new mandate (CMS-0057 F). The selected Business Analyst will lead large stakeholder meetings to extract requirements to meet the new SLA's of this mandate, document, validate, and clarify requirements for Interoperability APIs with a focus on Prior Authorization. Other responsibilities include:

Provide requirements mapping details
Lead requirements end-to-end between the business, IT, and testing teams
Responsible for end-to-end requirements traceability

Required Skills:

8 years as a BA with min. of 5 recent years within a Clinical environment
Excellent requirement gathering skills! Must have experience leading stakeholder meetings to extract requirements, then create documentation artifacts for the technical teams' review.
Knowledge of CMS-0057 F
Prior experience with Utilization MGT, Clinical Management/Operations
Experience with any leading Utilization MGT platform. GuidingCare is HIGHLY preferred. Open to InterQual or MCG as secondary options
Interoperability and API knowledge are required.
Prior experience with end-to-end requirements gathering lifecycle
Prior experience with requirements traceability management
Excellent communication and presentation skills for a multi-party project environment

Apply

Vacancy posted 4 days ago

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