BSA with Interoperability

Experience: Close to 10 years or above preferred.

Location: Philadelphia, PA (Hybrid Tuesday to Thursday)

What is in it for you?

As a Business System Analyst, you will be part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards.

Qualifications: Bachelor’s degree or equivalent work experience

Skills

• Interoperability
• Data Exchange Standards (HL7, FHIR, CDA, API, EDI)
• Clinical Data Terminologies (SNOMED, CPT, LOINC)
• Healthcare Payer Domain (Prior Authorizations, Claims, Clinical Data Exchange)
  
  

Required

• Must have US Healthcare Interoperability experience
• Knowledge of health data exchange standards (HL7, FHIR, CDA, API, EDI)
• Knowledge of clinical data terminologies (SNOMED, CPT, LOINC)
• Knowledge of healthcare Payer domain and workflows, compliance, and regulatory requirements (Prior Authorizations, Claims, Clinical Data Exchange)
• Either EPIC Payor or Provider knowledge is a must.
• Good to have knowledge of FHIR and HL7 transactions.
• US Healthcare domain knowledge is a must.
• Provider workflow knowledge is a must—must be aware of provider credentialing, contracting, onboarding, and network management.
• PDM (Provider Data Management) knowledge is an added advantage.
  
  

Responsibilities

• Works within identified scope of project, gathering business requirements by collaborating with business stakeholders, Business Architecture, IT, and vendors (or cross-functional technical teams).
• Must have worked on creating BRD, FRDs, UML, and flow diagrams.
• Ability to facilitate business requirement elicitation sessions with multiple stakeholders.
• Ability to perform UAT on business requirements and reports validation.
• Capture and document business requirements, including system application flows and impacts.
• Development of new process flows and functionality integration, adding clarity to requirements and documenting progress.
• Identifies potential issues and risks after conducting a gap analysis.
• Plans and consults with business stakeholders on data reporting and trending reports as needed.
• Primary contact to assist in defining business system requirements.
• Works with appropriate departments to ensure technical information is accurate and documented.
• Create and apply diagrams that represent the flow, process, and transformation of data within various systems for current and future states.
• Maintains approved project artifacts and follows version control processes.
• Has in-depth knowledge in own discipline and basic knowledge of related disciplines.
• Works independently; receives minimal guidance and collaborates well with the team.
• Ability to coach colleagues with less experience and perform peer reviews for requirements.
• Supports systems testing traceability and provides weekend and/or after-hours assistance as needed.