Hi
Our client is looking for a Business Analyst (Clinical Data Analysis Healthcare Payor)project in Remote below is the detailed requirement.
Job positing Title: Business Analyst (Clinical Data Analysis Healthcare Payor)
Location: Remote
Job description:
We looking for Business Analyst to bridge clinical operations, regulatory requirements, and technical delivery on a production Agentic AI platform engagement in the healthcare sector. You will translate complex clinical workflows and business rules into clear, testable requirements, support AIRB (AI governance) documentation, and ensure the platform delivers outcomes that are accurate, compliant, and accepted by clinical and operational stakeholders.
• Bachelor’s degree in related field
• 5+ years business analysis experience on technology delivery engagements; healthcare sector experience preferred.
• Requirements management: elicitation, documentation, traceability, and sign-off in agile delivery environments.
• Healthcare domain knowledge: prior authorization, utilization management, clinical workflows, or health plan operations.
• Strong UAT coordination: scenario design, defect triage, and formal sign-off facilitation with business stakeholders.
• Experience producing documentation for AI governance, regulatory review, or compliance processes.
• Excellent written communication — able to produce concise, unambiguous requirements, process flows, and executive-facing status reports.
Preferred Skills
• Familiarity with clinical coding systems (CPT, ICD-10, RxNorm) and prior authorization decision criteria.
• Experience with Rally, JIRA, Confluence, or equivalent agile tools.
• Exposure to AI, LLM, or automated decision-making platform projects.
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