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Job Description

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Summary:

Lead analysis, documentation, and delivery of healthcare solutions focused on workflow optimization, data integration, and regulatory compliance (HL7, FHIR, HIPAA). Collaborate with cross-functional teams to translate healthcare needs into actionable business and system requirements.


Key Responsibilities:

  • Analyze & optimize healthcare workflows and data pipelines (EHR, HIE, payer systems).
  • Aggregate and standardize healthcare data for analytics and reporting.
  • Conduct gap analysis, ensure interoperability, and support value-based care initiatives.
  • Work with data teams to develop dashboards, KPIs, and predictive models.
  • Lead UAT, change management, and training for new systems/workflows.
  • Maintain BRDs, functional specs, process maps, and data dictionaries.
  • Ensure compliance with privacy/security regulations.

  • Requirements:

    • Bachelor’s/Master’s in CS, Business, Health Informatics, or related field.
    • Strong knowledge of healthcare data standards (HL7, FHIR, CCDA, X12/EDI) and coding systems (ICD-10, CPT, SNOMED).
    • Proficiency in BI tools (Excel, Tableau, Power BI, SQL).
    • Experience with EHRs (Epic, Cerner) and claims/HIE systems.
    • Understanding of HIPAA, HITECH, and CMS mandates.
    • Certifications (CBAP, PMI-PBA, PMP, CPHI) preferred.

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