(ePA) Business Analyst

HI Pals,

we have a position for End-point assessment plan Business Analyst at Frisco,TX.

Position Title: (ePA)Business Analyst 
End-point assessment plan BA
Employment Type: 12 Months+Contract
Loc: Frisco,TX
Role Summary:
• Lead and support business analysis for electronic prior authorization (ePA) delivery to meet CMS 
0057 requirements for streamlined PA workflows and interoperability. 
• Translate regulatory and business needs into clear requirements, user stories, and actionable plans.
• Facilitate collaboration and communication between U.S. stakeholders, clinical/UM teams, and 
distributed development teams.
Key Responsibilities:
• Gather, analyze, and document business and functional requirements for ePA workflows and FHIRbased API obligations. 
• Translate requirements into user stories, acceptance criteria, and process flows.
• Facilitate sprint planning, backlog refinement, and stakeholder communication.
• Track delivery progress, identify risks (including UM vendor coordination), and recommend 
corrective actions.
• Support quality, process improvements, and operational alignment.
Technical Skills & Tools:
• Business analysis in regulated software delivery focused on ePA and interoperability.
• Strong understanding of Agile methodologies.
• Experience with requirement and project tracking tools (e.g., Jira, ADo).
• Ability to create clear documentation and workflow diagrams.
SQL, Python
Desired Attributes:
• Strong analytical and problem-solving skills
• Clear communication with technical and business teams
• High attention to detail and organization
• Collaborative and proactive mindset
Key Activities:
Category Key Activities
Requirements 
Definition
• Define and translate CMS-0057 ePA requirements such as FHIR-based 
Prior Authorization API elements, mandated response timelines (≤72 hrs 
expedited; ≤7 days standard), and structured denial reasons for payer 
systems. 
PA Workflow & UM 
Integration
• Analyze current PA processes with Utilization Management teams and 
UM vendors, map gaps, and document requirements for automated ePA 
submission, status updates, and decision workflows. 
ePA Solution 
Translation & 
Planning
• Convert regulatory and operational needs into user stories, acceptance 
criteria, and workflow diagrams that guide development of payer ePA 
APIs, internal systems, and provider interfaces. 
Delivery & 
Implementation
• Collaborate with cross-functional teams to monitor ePA development, 
manage UM vendor/API dependencies, validate deliverables against 
CMS timelines and support payer compliance reporting.