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.
Thanks & Regards
Paul |Technical Recruiter |Dizer Corp.
1912 Mentor Ave | Painesville | OH 44077
Direct:
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