· 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.
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