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: Bachelors 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 mustmust 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 crossfunctional 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 indepth 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 afterhours assistance as needed.