Business Analyst Healthcare Data Integration

TalentOlaPhiladelphia, PA
Hybrid

About The Position

As a Business Analyst – Healthcare Data Integration you'll support healthcare data integration and interoperability initiatives within the Enterprise Data Office. The role focuses on HL7/FHIR data exchange, regulatory compliance (CMS/ONC), healthcare data analysis, and bridging business and technical teams.

Requirements

  • 5-10 years of Business Analysis, Healthcare IT, or Data Integration experience.
  • Strong experience with: FHIR HL7 CCD, ADT, SIU Healthcare data exchange
  • Strong SQL and Databricks skills.
  • Experience with Agile methodologies.
  • Experience using Azure DevOps or JIRA.
  • Strong documentation, communication, and stakeholder management skills.
  • Ability to interpret large datasets and provide business recommendations.
  • Experience in a Managed Care/Payer environment.
  • Experience with Healthcare domains such as: Claims, Enrollment, Care Management, Utilization Management, Quality/HEDIS, Risk Adjustment, Prior Authorizations.

Responsibilities

  • Gather and document business and technical requirements.
  • Work on healthcare interoperability standards such as: FHIR HL7 CCD ADT SIU
  • Analyze and validate data using SQL and Databricks.
  • Create: Business requirements documents, Data mappings (source-to-target), Business rules, Process flows, Data specifications
  • Support testing, QA, and data validation activities.
  • Collaborate with business stakeholders, IT teams, and external vendors.
  • Ensure compliance with CMS interoperability requirements.
  • Provide regular status updates and recommendations to leadership.
  • Mentor junior Business Analysts.
  • Drive projects independently with minimal supervision.
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