Sr. Clinical Business Analyst
Glint Tech Solutions LLC•New York, NY
About The Position
We are seeking an experienced Clinical Business Analyst to support critical interoperability mandates, including CMS-0057 F. This is an urgent requirement for a highly skilled professional with strong clinical and stakeholder management experience.
Requirements
- 8+ years as BA (5+ years in Clinical environment)
- Strong experience with CMS-0057 F mandate
- Utilization Management (UM) & Clinical Operations expertise
- Experience with GuidingCare (preferred), InterQual or MCG
- Interoperability & API knowledge
- Strong documentation, communication & stakeholder management
Nice To Haves
- Jira experience is a plus
Responsibilities
- Lead stakeholder meetings to gather and define requirements
- Drive end-to-end requirements lifecycle & traceability
- Document, validate, and map business requirements
- Collaborate with business, IT, and QA teams
- Support interoperability APIs (Prior Authorization focus)
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
