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Business Systems Analyst Interoperability and ePA

Hybrid in Jersey City, NJ, US • Posted 1 day ago • Updated 10 hours ago

Contract W2

Contract Independent

Able to Sponsor

Hybrid

Depends on Experience

Fitment

Dice Job Match Score™

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Job Details

Skills

ePA
CRD
DTR
PAS
FHIR
Interoperability
CMS-0057-F
HL7
Prior Authorization
Utilization Management
Medical Policy
Business Systems Analyst
Product Owner
Product Manager
Requirements Management
Vendor Management
Availity
Cognizant
Prime Therapeutics
API Integration
Data Mapping
Requirements Traceability
Business Test Scenarios
End-to-End Testing
Healthcare Payer
Stakeholder Management
Compliance Readiness
business systems
bsa
healthcare
medical
pharma
policy
cms

Summary

Business Systems Analyst Interoperability & ePA

8+ years as BSA/Product Owner/Product Manager
Healthcare payer experience
Prior Authorization experience
Vendor management experience
API integration experience
Strong facilitation and stakeholder management skills
FHIR
CMS-0057-F
CRD/DTR/PAS
HL7
Interoperability programs
Utilization Management workflows
Medical Policy systems
- Own end-to-end business and functional requirements for ePA, CRD, DTR, and PAS.
- Facilitate requirement sessions across business, operations, and technology teams.
- Translate regulatory requirements into business and technical requirements.
- Maintain requirements traceability from CMS regulations through implementation and testing.
- Act as primary day-to-day requirements lead with Availity.
- Review vendor assumptions, solution designs, workflows, and implementation approaches.
- Track gaps, risks, dependencies, and open decisions.
FHIR & Interoperability Analysis
- Understand CRD, DTR, PAS, Patient Access, Provider Access, and Payer-to-Payer workflows.
- Analyze FHIR resource requirements and data mapping needs.
- Partner with API teams on business workflow impacts.

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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: 91098465
Position Id: 9002510
Posted 1 day ago

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