Integration Business Analyst

Cotiviti
3dRemote

About The Position

The Integration Business Analyst will play a key role in supporting the successful development and implementation of integrated health enablement technology solutions. This position will be responsible for requirements gathering, cross-team coordination, and ensuring seamless integration between multiple technology platforms and services. Together with the project lead and multiple workstream teams, you will be responsible for ensuring a smooth design, build and implement process for our risk adjustment solution initiatives.

Requirements

  • Bachelor’s degree in Business Administration, Information Systems, Healthcare Administration, or related field, plus 8 years’ related experience (or a master’s degree with 6 years’ experience, or equivalent), required.
  • 3-5 years of experience in business analysis, ideally in healthcare technology, risk adjustment, or similar regulatory environments.
  • Experience with complex system integrations, API integrations, cross-platform requirements gathering, and data mapping.
  • Proficiency with requirements management and documentation tools (e.g., JIRA, Azure DevOps, Confluence; preferred: Excel, SQL basics).
  • Strong analytical and problem-solving skills with experience in process mapping, workflow documentation, and data analysis.
  • Knowledge of healthcare data standards (HIPAA, HL7), risk adjustment methodologies, and healthcare technology platforms/integration solutions (preferred).
  • Exceptional communication and interpersonal skills with the ability to facilitate meetings and workshops across diverse business and technical stakeholders.
  • Strong attention to detail, ability to work independently, and capacity to manage multiple priorities in a fast-paced environment.
  • Solid understanding of the software development lifecycle and agile methodologies.
  • Excellent written and verbal communication skills.
  • Ability to analyze and interpret complex business processes, workflows, and data.
  • Skill in synthesizing information and translating business needs into clear.
  • Strong critical thinking and problem-solving abilities to evaluate options and recommend solutions.
  • Capacity to maintain attention to detail while multiple priorities and deadlines.
  • Proficiency in organizing and presenting information for documentation and stakeholder communication.
  • Ability to facilitate discussions, capture input, and build consensus among stakeholders.
  • Ability to change information, technology, and regulatory requirements.
  • Effective decision-making under time constraints with consideration of business and technical impacts.
  • Clear and effective verbal and written communication of complex concepts.
  • Remaining in a stationary position, often standing or sitting for prolonged periods.
  • Repeating motions that may include the wrists, hands, and/or fingers
  • Must be able to provide a dedicated, secure work area.
  • Must be able to provide high-speed internet access/connectivity and office setup and maintenance.

Nice To Haves

  • Advanced certifications such as CBAP, preferred.

Responsibilities

  • Gather, analyze, and document complex business requirements across risk adjustment workflows (prospective, concurrent, retrospective).
  • Translate business needs into detailed functional specifications, user stories, and acceptance criteria for development teams.
  • Conduct stakeholder interviews and workshops to identify integration touchpoints, dependencies, and workflow requirements across multiple platforms.
  • Create and maintain requirements traceability matrices and change control documentation.
  • Analyze current data structures, workflow models, and system architecture to define integration and data model requirements.
  • Facilitate communication and validation sessions across product, engineering, legal, compliance, and operational teams.
  • Lead cross-functional requirements review meetings and support project planning, timelines, and implementation activities.
  • Document as-is and to-be business processes, ensuring alignment with compliance and market requirements.
  • Develop test scenarios and support user acceptance testing to validate solutions.
  • Complete all responsibilities as outlined in the annual performance review and/or goal setting.
  • Complete all special projects and other duties as assigned.
  • Must be able to perform duties with or without reasonable accommodation.

Benefits

  • Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.
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