Senior Business Analyst - Healthcare

HEXAWAREUnited States,
Hybrid

About The Position

Hexaware is a dynamic and innovative IT organization committed to delivering cutting-edge solutions to our clients worldwide. We pride ourselves on fostering a collaborative and inclusive work environment where every team member is valued and empowered to succeed. Hexaware provides access to a vast array of tools that enhance, revolutionize, and advance professional profile. We complete the circle with excellent growth opportunities, chances to collaborate with highly visible customers, chances to work alongside bright brains, and the perfect work-life balance. With an ever-expanding portfolio of capabilities, we delve deep into and identify the source of our motivation. Although technology is at the core of our solutions, it is still the people and their passion that fuel Hexaware s commitment towards creating smiles. At Hexaware we encourage to challenge oneself to achieve full potential and propel growth. We trust and empower to disrupt the status quo and innovate for a better future. We encourage an open and inspiring culture that fosters learning and brings talented, passionate, and caring people together. We are always interested in, and want to support, the professional and personal you. We offer a wide array of programs to help expand skills and supercharge careers. We help discover passion the driving force that makes one smile and innovate, create, and make a difference every day.

Requirements

  • Subject matter expert on HL7 exchange protocols, including FHIR, CCDs, ADTs, etc.
  • Hands-on data analysis using SQL, Databricks, and related tools.
  • Experience documenting business and technical requirements, source to target mappings, data specifications, business rules, and process flows.
  • Experience supporting validation and QA by reviewing data outputs, test cases, and results.
  • Ability to collaborate with internal teams and external partners with minimal supervision.
  • Ability to mentor and guide junior BAs.
  • Ability to communicate business and process solutions, recommendations, and issues to client management.
  • Experience documenting business process flows related to interoperability initiatives.
  • Working knowledge of internal customer Managed Care functions (HealthCare Services, Claims, Enrollment, Quality/HEDIS, Risk Adjustment, Care Management, Utilization Management).

Nice To Haves

  • Prior Experience on HEDIS and Quality process and HEDIS Data is a plus

Responsibilities

  • Lead requirements end to end, independently driving discovery, analysis, and solution definition across business and IT stakeholders.
  • Serve as a subject matter expert on HL7 exchange protocols, including FHIR, CCDs, ADTs, etc.
  • Perform hands on data analysis using SQL, Databricks, and related tools to validate data, troubleshoot issues, and support design decisions.
  • Document business and technical requirements, source to target mappings, data specifications, business rules, and process flows.
  • Support validation and QA by reviewing data outputs, test cases, and results to ensure accuracy and compliance.
  • Collaborate with internal teams and external partners with minimal supervision to gather requirements, drive key decisions, and support successful implementations.
  • Mentor and guide junior BAs on best practices in requirements, documentation, analysis, and stakeholder engagement.
  • Communicate business and process solutions, recommendations, and issues to client management on a regular basis.
  • Document all business process flows related to interoperability initiatives.
  • Apply working knowledge of internal customer Managed Care functions (HealthCare Services, Claims, Enrollment, Quality/HEDIS, Risk Adjustment, Care Management, Utilization Management) to support problem solving and solution design.

Benefits

  • excellent growth opportunities
  • chances to collaborate with highly visible customers
  • chances to work alongside bright brains
  • perfect work-life balance
  • access to a vast array of tools that enhance, revolutionize, and advance professional profile
  • wide array of programs to help expand skills and supercharge careers
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