Healthcare Business Analyst / Healthcare SME

Role: Healthcare Business Analyst / Healthcare SME

Location: Remote

Role Summary

The Healthcare Business Analyst (Healthcare SME) acts as the bridge between clinical stakeholders, care management teams, product owners, architects, and AI/data teams to define requirements for an AI enabled Connected Diabetes Care solution. The role focuses on diabetes care workflows, care gap identification, AI insight validation, and translating clinical/business needs into product requirements, epics, and user stories.

Key Responsibilities

• Lead workshops with clinicians, care managers, product owners, and stakeholders to document diabetes care workflows, intervention points, and patient engagement processes.
• Assess current diabetes management processes and identify opportunities for AI driven risk stratification, proactive outreach, and clinical decision support.
• Define business goals, KPIs, MVP scope, and functional requirements for the Connected Diabetes Care platform.
• Partner with Clinical SMEs, Data Scientists, and AI Architects to define patient cohorts, risk indicators, clinical patterns, and intervention scenarios.
• Facilitate AI/ML use case discovery and prioritization based on business value and technical feasibility.
• Translate requirements into epics, features, user stories, acceptance criteria, and sprint ready backlog items.
• Support validation of healthcare data workflows involving Epic, FHIR, CGM, Snowflake, and related platforms.
• Lead business testing and clinical validation of AI driven recommendations and success metrics.
• Conduct clinical reviews to validate patient risk factors, patterns, and AI generated insights.
• Prepare workflow diagrams, process models, use cases, requirements documentation, and executive presentations.
• Manage stakeholder communication, requirements traceability, approvals, and delivery planning.
• Contribute to implementation roadmaps, backlog creation, and product strategy.

Required Qualifications

• Bachelor’s degree in Healthcare Administration, Nursing, Life Sciences, Public Health, Health Informatics, or a related field.
• 8+ years of experience as a Healthcare Business Analyst, Clinical Consultant, Healthcare Product Analyst, or Healthcare SME.
• Strong knowledge of Diabetes Care Management, Population Health, Care Coordination, and Patient Engagement.
• Experience with healthcare providers, payers, health systems, or care management organizations.
• Understanding of EHR workflows, preferably Epic.
• Knowledge of healthcare interoperability standards including FHIR, HL7, and APIs.
• Experience gathering and documenting business requirements, workflows, use cases, and user stories.
• Proven ability to facilitate workshops with clinical, business, and technical stakeholders.
• Familiarity with Agile methodologies and backlog management tools.

Preferred Qualifications

• Clinical background such as RN, Care Manager, Diabetes Educator, Allied Health Professional, or Clinical Operations Specialist.
• Experience supporting AI/ML, advanced analytics, or digital health initiatives.
• Knowledge of Continuous Glucose Monitoring (CGM), Remote Patient Monitoring (RPM), and chronic disease management.
• Understanding of value-based care, quality measures, risk stratification, and care pathway optimization.
• Familiarity with Snowflake, AWS healthcare services, and healthcare data platforms.