Senior Business Analyst- Health Care (HEDIS)

·       Lead requirements end to end, independently driving discovery, analysis, and solution definition across business and IT stakeholders.

·       Serve as a subject matter expert on HL7 exchange protocols, including FHIR, CCDs, ADTs, etc.

·       Perform hands on data analysis using SQL, Databricks, and related tools to validate data, troubleshoot issues, and support design decisions.

·       Prior Experience on `HEDIS and Quality process and HEDIS Data is a plus

·       Document business and technical requirements, source to target mappings, data specifications, business rules, and process flows.

·       Support validation and QA by reviewing data outputs, test cases, and results to ensure accuracy and compliance.

·       Collaborate with internal teams and external partners with minimal supervision to gather requirements, drive key decisions, and support successful implementations.

·       Mentor and guide junior BAs on best practices in requirements, documentation, analysis, and stakeholder engagement.

·       Communicate business and process solutions, recommendations, and issues to client management on a regular basis.

·       Document all business process flows related to interoperability initiatives.

·       Apply working knowledge of internal customer Managed Care functions (HealthCare Services, Claims, Enrollment, Quality/HEDIS, Risk Adjustment, Care Management, Utilization Management) to support problem solving and solution design.