Senior Technical Business Analyst

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About the Role

We are looking for a Technical Business Analyst (BA) with a strong understanding of healthcare workflows and systems — especially in the context of Risk Adjustment, Digital & Manual Retrieval, HEDIS, and Health Assessments. This role bridges the gap between Product, Engineering, Clinical SMEs, and Operations by translating complex business requirements into clear, actionable specifications. You will play a key role in shaping system behavior, ensuring delivery quality, and aligning solutions to end-user workflows.

Key Responsibilities:

Requirements & Analysis

• Gather, validate, and document business and technical requirements from cross-functional teams
• Collaborate with Product Owners to break down Epics/Features into detailed User Stories
• Write comprehensive BRDs/FRDs, workflows, and use cases
• Own and maintain mapping documents, data dictionaries, and interface specs

Technical Understanding

• Understand backend processes like data ingestion, OCR, NLP/NLU transformation, and routing logic
• Lead impact assessments when changes are made to upstream or downstream systems

Testing & Validation

• Define acceptance criteria, edge cases, and negative test scenarios
• Assist QA teams in test planning and validating feature behavior
• Participate in UAT with end users and triage feedback in collaboration with Product Owners

Stakeholder Collaboration

• Facilitate grooming and technical walkthroughs with Engineering, QA, and DevOps
• Act as a bridge between business & tech teams, ensuring alignment throughout delivery
• Support implementation planning, documentation handoff, and post-release support

Success Metrics:

•  Accuracy & clarity of requirements (rework/clarification rate <10%)

•  % of test cases directly mapped to acceptance criteria

•  Story delivery velocity (based on estimation accuracy and backlog readiness)

•  Stakeholder satisfaction (Ops, Product, QA, Eng)

• Requirement coverage of edge cases, exceptions, and regulatory compliance

Required Qualifications:

• 4–8 years of experience as a BA, preferably in healthcare IT, clinical data, or payer-side products
• Strong understanding of CMS Risk Adjustment, HCC coding, Retrieval processes, or HEDIS abstraction workflows
• Proficient in tools like Azure DevOps / Jira, Lucidchart / Visio, SQL (basic queries), Confluence
• Comfortable working in Agile/Scrum environment (certification must)

• Exceptional communication, documentation, and stakeholder alignment skills

Bonus Skills:

• Experience in NLP/NLU model workflows and AI output validation
• Familiarity with healthcare compliance standards (e.g., HIPAA)
• Exposure to chart review, CCD/CCDA parsing, or provider-facing workflows
• Certification: CBAP / PMI-PBA / SAFE BA / Agile BA / HL7 FHIR Foundation
• Ability to read/analyze

  clinical data

  , ICD-10, HL7/FHIR, or related data standards

Ideal Mindset:

• You’re

  analytically rigorous

  , yet practical with MVP-first thinking
• You translate ambiguity into clarity, assumptions into logic
• You see yourself as a

  co-owner of the delivery

  , not just a requirement gatherer
• You’re passionate about improving healthcare through structured, scalable solutions

What We Offer:

• Opportunity to shape cutting-edge healthcare AI products at scale
• A collaborative environment that values experimentation and innovation
• Access to SMEs, engineers, and coders who live the problem every day
• Leadership pathways in Product and AI domains