Sr Business Analyst - Healthcare Interoperability

About this role

Overview:

Provides analysis of quantitative and qualitative data from internal and external data sources in support of business decisions. Job Duties: Uses standard or ad hoc queries or reports to extract data from disparate databases or data sources. Analyzes data to produce dashboards, metrics, or insights and identify trends or anomalies. Consults with users or decision makers to identify data sources, required data elements, or data validation standards. Collaborates with development teams to design business intelligence solutions to facilitate data gathering, storage, and retrieval. Experience and Education: Performs work under minimal supervision. Handles complex issues and problems, and refers only the most complex issues to higher-level staff. Possesses comprehensive knowledge of subject matter. Reports to: Typically reports to a department head or manager. Competencies: Oral and written communication skills. Problem/situation analysis. Ability to identify and seek needed information/research skills. Analytical thinking skills. Statistical knowledge. Technical expertise. Mathematical skills.

Responsibilities:

• Analyze business needs related to healthcare data exchange and interoperability workflows.
• Analyze large volumes of raw healthcare data from multiple source systems including flat files, databases and formats (claims, member, provider, clinical, enrollment, financial) to assess structure, relationships, and consistency.
• Analyze relationships between data types (e.g., linking members to claims, providers to encounters) to ensure data accuracy and completeness.
• Led discovery and integration workshops with stakeholders across providers and payers to define interface specifications and data mappings.
• Developed functional and technical requirements for inbound and outbound interfaces i.e. healthcare data (HL7, FHIR, CDA, CCD, X12, etc.) specifications for development and integration teams.
• Interpret and document data integrity issues, bad data...