Clinical Business Analyst

Remote • Posted 1 day ago • Updated 1 day ago
Full Time
Remote
Depends on Experience
Fitment

Dice Job Match Score™

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Job Details

Skills

  • Utilization Management
  • User Stories
  • Analytical Skill
  • Collaboration

Summary

Key Responsibilities:

  • Collaborate with clinical, operational, and IT stakeholders to gather and document business and system requirements
  • Analyze workflows related to Utilization Management, Care Management, and Behavioral Health programs
  • Translate business requirements into functional specifications, user stories, and process flows
  • Work closely with development teams on healthcare data exchange standards such as FHIR and HL7
  • Ensure compliance with HIPAA and other healthcare regulatory requirements
  • Participate in system design discussions, testing, and validation of healthcare applications
  • Support UAT (User Acceptance Testing) and ensure solutions meet clinical and business needs
  • Identify process improvement opportunities and recommend scalable solutions
  • Assist in data mapping, integration efforts, and interoperability initiatives

Required Qualifications:

  • Bachelor s degree in Healthcare, Information Systems, or related field
  • 5+ years of experience as a Business Analyst in the healthcare domain
  • Strong experience in Utilization Management, Care Management, or Behavioral Health
  • Hands-on knowledge of FHIR, HL7, and healthcare data exchange standards
  • Solid understanding of HIPAA compliance and healthcare regulations
  • Experience with requirement gathering, documentation, and stakeholder management
  • Strong analytical, communication, and problem-solving skills
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 10199915
  • Position Id: 8947990
  • Posted 1 day ago
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