Senior IT Business Analyst - Remote

About the Role

We are seeking an experienced Senior IT Business Analyst with deep expertise in healthcare interoperability, payer operations, and authorization workflows. This role serves as the critical bridge between business stakeholders, healthcare policy, and technical delivery teams. The Senior IT Business Analyst will translate complex contractual, regulatory, clinical, and business requirements into clear functional specifications and actionable technical requirements.

Responsibilities

• Gather, analyze, and document contractual obligations, regulatory requirements, business rules, policy requirements, and operational needs.
• Translate complex healthcare and payer requirements into clear, actionable business and functional requirements.
• Identify dependencies, gaps, risks, and impacts across business processes and technical solutions.
• Develop detailed functional specifications, process flows, data mappings, and acceptance criteria.
• Translate healthcare business rules and interoperability requirements into technical requirements for development teams.
• Analyze healthcare data and complex EDI/X12 transactions to identify data relationships, business rules, and quality issues.
• Work with data engineers and developers to translate business logic into optimized SQL and PySpark transformation processes.
• Validate data mappings, transformation logic, payloads, and downstream data products.
• Define comprehensive test scenarios, test cases, and expected results based on business and technical requirements.
• Validate complex healthcare data payloads and transaction processing.
• Coordinate and support end-to-end testing and User Acceptance Testing (UAT).
• Work within Scrum or Kanban delivery environments.
• Own and manage Jira epics, features, and user stories through decomposition, refinement, and delivery.

Requirements

• 10+ years of IT Business Analysis experience, including at least 4 years focused on healthcare interoperability and/or authorization.
• 10+ years of experience working within a health plan/payer environment.
• Strong understanding of healthcare payer operations, particularly authorization workflows and processes.
• 3+ years of experience with CMS Interoperability requirements and standards.
• Strong understanding of healthcare data exchange and interoperability concepts.
• 3+ years of hands-on experience with EDI/X12 transactions, including 837, 834, 835, and 270/271.
• 3+ years of SQL experience, including complex joins, data analysis, reconciliation, and data quality validation across large datasets.
• 1+ year of experience with Databricks or a comparable modern data platform.
• Familiarity with Delta Lake, Medallion Architecture, Unity Catalog, and PySpark-based data transformation.

Qualifications

• Strong analytical and problem-solving skills with the ability to work through complex healthcare business and technical requirements.
• Excellent communication skills, with the ability to explain technical concepts to business stakeholders and business requirements to technical teams.
• Ability to bridge the gap between healthcare operations, regulatory requirements, data engineering, and application development.
• Comfortable working independently while collaborating across multiple teams and stakeholders.
• Strong attention to detail, particularly when working with healthcare data, regulatory requirements, and complex transaction structures.
• Proven ability to operate effectively in a fast-paced, Agile delivery environment.

Pay

The starting pay range for this remote role is $85,085-$118,188. Actual compensation will depend on factors such as work location, experience, technical skills, and qualifications.

Benefits

• Medical, dental, and vision insurance with employer contribution
• Flexible spending or health savings account
• Life and AD&D insurance
• Short- and long-term disability coverage
• Paid time off
• Employee assistance
• 401k program with company match
• Additional voluntary or legally-required benefits