Clinical Business Analyst - PlumGravity - Remote | Dice.com

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Clinical Business Analyst

Remote • Posted 4 hours ago • Updated 4 hours ago

Contract W2

Remote

Depends on Experience

Apply Now

PlumGravity

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Job Details

Skills

Acceptance Testing
Agile
Analytical Skill
Cerner
Change Management
Collaboration
Communication
Configuration Management
Confluence
Content Management
Data Analysis
Data Warehouse
Decision Support
Development Testing
Dialog Manager
Dimensional Modeling
Documentation
Electronic Health Record (EHR)
Epic
Gap Analysis
HEDIS
HIPAA
Health Care
ICD
Impact Analysis
JIRA
Leadership
MEDITECH
Management
Mapping
Microsoft Visio
Process Flow
Process Improvement
Process Optimization
Project Delivery
Regulatory Compliance
Reporting
Requirements Elicitation
SAS Display Manager
SQL
Scrum
Software Design
Test Cases
Training
Use Cases
User Stories
Utilization Management
Workflow

Summary

Position: Clinical Business Analyst
Experience:10+ Years
Location: Remote

Rate: $52/hr on W2 or $60/hr on 1099

Overview

We are seeking an experienced Clinical Business Analyst with a strong background in clinical operations, healthcare workflows, and IT systems within payer or provider environments. The ideal candidate will support requirements gathering, process optimization, and solution design for clinical and care management platforms. Experience working with EHR/EMR systems, clinical data models, and healthcare regulatory standards (HIPAA, CMS, NCQA) is required.

Key Responsibilities

Business Analysis & Requirements

Lead stakeholder meetings with clinical teams, providers, care managers, and IT groups.
Gather, analyze, and document detailed business requirements, workflows, and use cases.
Translate clinical needs into functional specifications and user stories.
Perform gap analysis, impact analysis, and workflow mapping for clinical systems.

Clinical Systems & Data

Work with EHR/EMR systems (Epic, Cerner, Meditech, etc.) or clinical decision support tools.
Analyze clinical data (labs, encounters, medications, claims, care plans).
Ensure proper alignment with healthcare regulations: HIPAA, CMS, HEDIS, NCQA, UM/CM guidelines.
Support integrations between clinical systems, claims systems, and data warehouses.

Project Delivery & Support

Collaborate with architects, developers, QA testers, and clinical operations to ensure solution accuracy.
Support test case creation, UAT execution, and defect resolution.
Document SOPs, workflow diagrams, and training materials.
Assist in rollout, change management, and adoption across clinical departments.

Cross-Functional Collaboration

Act as the bridge between clinical end-users and IT delivery teams.
Communicate complex clinical and technical concepts in simple, clear language.
Present recommendations, process improvements, and status updates to leadership.

Required Skills & Qualifications

7 10+ years of experience as a Business Analyst in clinical or healthcare environments.
Strong understanding of clinical workflows (UM, CM, DM, Care Coordination, Prior Auth, HEDIS).
Experience with EHR/EMR systems, clinical reporting tools, or care management platforms.
Strong understanding of medical terminologies, ICD/CPT codes, claims data, and provider workflows.
Hands-on experience with requirements gathering, user stories, process flows, and acceptance criteria.
Knowledge of HIPAA, CMS guidelines, NCQA standards, and healthcare compliance.
Experience working in Agile/Scrum environments.
Strong communication, documentation, and analytical skills.

Preferred Skills

Experience with Epic modules, Cerner Millennium, or care management tools like InterQual, MCG.
Background working with payers, PBMs, ACOs, or large provider networks.
Experience in data analytics or SQL (good to have).
Experience with Jira, Confluence, Visio, or Lucidchart.

Education

Bachelor s degree in Healthcare, Life Sciences, Nursing, Public Health, IT, or related field.
Master s preferred (MPH, MHA, or related).

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: 91164855
Position Id: 8830378
Posted 4 hours ago

Company Info

About PlumGravity

At Plumgravity, we specialize in IT staffing and consulting services, providing tailored solutions to meet our clients business needs and drive success through exceptional talent and expertise.

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Clinical Business Analyst

PlumGravity

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Job Details

Skills

Summary

Overview

Key Responsibilities

Business Analysis & Requirements

Clinical Systems & Data

Project Delivery & Support

Cross-Functional Collaboration

Required Skills & Qualifications

Preferred Skills

Education

Company Info

About PlumGravity

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