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
Vacancy posted 2 days ago
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