Senior Business Analyst

About the role

At Commence, we’re the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient processes for program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care. With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication, and clinical domain expertise, Commence cuts straight to better care.

This role is for a Senior Business Analyst who will lead requirements management, business process transformation, and stakeholder engagement activities for a case management system supporting the Centers for Medicare & Medicaid Services (CMS). The Sr. BA will serve as a strategic advisor and functional lead, ensuring that business needs are translated into scalable, compliant, and interoperable solutions aligned with CMS priorities.

Responsibilities

• Lead complex requirements elicitation across multiple CMS stakeholders and business units
• Define enterprise-level functional and non-functional requirements
• Establish and enforce requirements management standards and best practices
• Ensure full traceability (RTM) from requirements through testing and deployment
• Support audit readiness and compliance reviews
• Establish documentation standards and governance processes
• Lead analysis and redesign of end-to-end case management workflows: Intake & eligibility, Case assignment & triage, case lifecycle management, and Reporting & outcomes tracking
• Identify optimization opportunities and drive process reengineering initiatives
• Align workflows with CMS regulatory and operational goals
• Define enterprise data requirements and governance approaches
• Collaborate with architects and engineers on data models, APIs, and reporting frameworks
• Partner with Product Owners to define and prioritize strategic backlog items
• Serve as primary interface between CMS leadership, business users, and technical teams
• Facilitate workshops, briefings, and solution reviews
• Translate complex technical concepts into clear business language
• Guide junior analysts, influence solution design, and ensure end-to-end traceability from requirements through implementation and operations

Requirements

• Bachelor’s degree in business, healthcare, IT, or related field
• 8–12+ years of Business Analysis experience
• 3+ years supporting federal healthcare programs (CMS strongly preferred)
• Proven experience leading large-scale case management or healthcare IT implementations
• Strong experience in Agile delivery environments
• Advanced requirements elicitation and facilitation
• Business process modeling and reengineering (BPMN, workflow design)
• Data analysis, mapping, and governance
• Strong leadership, communication, and stakeholder management
• Expertise with tools such as Jira, Confluence, Azure DevOps
• Direct experience supporting CMS initiatives

Preferred Qualifications

• Experience with healthcare data formats (CDA, HL7, FHIR)
• Agile certifications (e.g., SAFe, Scrum)

Work Environment

This is a remote position. The work environment is a climate-controlled setting where the employee regularly works on a computer for extended periods. Candidates must be able to sit, read, and watch a computer screen for long durations. Occasionally required to stand, walk, use hands and fingers, kneel, or crouch.

Pay

$135,000–$145,000