Business Analyst - Healthcare

Responsibilities

• Analyze, map and create requirements to transform healthcare data from upstream sources like claims, eligibility, provider, encounter and supplemental data
• Translating Functional Requirements from HEDIS team into technical requirements and User Stories
• Perform hands on data analysis using SQL, Databricks, and related tools to validate data, troubleshoot issues, and support design decisions
• Partner with Engineering teams to deliver HEDIS product enhancements as per needs of the business.
• Document business and technical requirements, source to target mappings, data specifications, business rules, and process flows
• Implement robust data quality checks and auditing processes across data ingestion, transformation, and reporting layers.
• Participate in annual HEDIS submission cycles-supporting data extraction, validation, and Audits.
• Develop dashboards and visualizations in Power BI
• Support ad-hoc analysis, root-cause investigations, and quality improvement initiatives tied to HEDIS measures and STAR ratings.
• Participate in project planning; identifying milestones, deliverables and resource requirements; tracks activities and task execution.
• Ability to recognize business needs, limitations with existing products/platforms to meet those needs and providing creative solutions to advance data lake maturity.
• High degree of integrity, confidence, self-awareness & learning agility
• Problem-solving and entrepreneurial mindset - driven to create and innovate.

Required Qualifications

• Over 5+ years of healthcare IT experience
• Bachelor s degree in computer science, Information Systems, Data Analytics, or a related field.
• Experience with HEDIS Data sources, data ingestion and extra.

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