Healthcare Business Analyst

Remote • Posted 1 hour ago • Updated 1 hour ago
Contract Independent
Contract W2
Contract Corp To Corp
6 Months
No Travel Required
Remote
$50 - $55/hr
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Job Details

Skills

  • Healthcare Business Analysis
  • Electronic Prior Authorization (ePA)
  • CMS-0057
  • Prior Authorization APIs
  • CRD
  • DTR
  • PAS
  • FHIR
  • FHIR APIs
  • HL7
  • Healthcare Interoperability
  • Da Vinci
  • CARIN
  • PDex
  • FHIR Implementation Guides
  • BRD
  • Functional Requirements
  • User Stories
  • UAT
  • Acceptance Criteria
  • Workflow Mapping
  • Agile/Scrum
  • Jira
  • Azure DevOps
  • Healthcare Code Sets
  • Stakeholder Management
  • Client/Partner Engagement
  • Postman
  • SQL
  • Python

Summary

Role Summary

We are seeking an experienced Healthcare Business Analyst with strong hands-on experience in Electronic Prior Authorization (ePA), CMS-0057, FHIR, and healthcare interoperability. The candidate should be able to work directly with clients, partners, product, and technical teams and contribute quickly to complex healthcare implementations.

Key Responsibilities

  • Gather, analyze, and document business and functional requirements for ePA and FHIR-based solutions.
  • Support CMS-0057 requirements, including Patient Access, Provider Access, Payer-to-Payer, and Prior Authorization APIs.
  • Understand end-to-end ePA workflows, including CRD, DTR, and PAS, and how Onyx workflows fit into the process.
  • Read and interpret FHIR Implementation Guides, including Da Vinci, CARIN, and PDex.
  • Convert business scenarios into BRDs, functional requirements, user stories, acceptance criteria, workflow diagrams, and UAT scenarios.
  • Work with clients, healthcare partners, product, development, and QA teams to clarify requirements and drive decisions.
  • Participate in Agile ceremonies including backlog refinement, sprint planning, and requirement walkthroughs.

 

Required Skills

  • 5+ years of experience as a Healthcare Business Analyst.
  • Hands-on ePA / Prior Authorization experience.
  • Strong understanding of CMS-0057 and Prior Authorization APIs.
  • Strong working knowledge of FHIR, HL7, and healthcare interoperability.
  • Experience with CRD, DTR, and PAS.
  • Ability to work with FHIR Implementation Guides Da Vinci, CARIN, PDex.
  • Understanding of healthcare code sets/terminologies.
  • Strong experience creating BRDs, requirements, user stories, UAT scenarios, and process flows.
  • Experience with Jira / Azure DevOps and Agile/Scrum.
  • Strong client and stakeholder communication skills with the ability to drive discussions to decisions.

Preferred

  • Payer/provider or utilization management experience.
  • FHIR API / Postman experience.
  • SQL or Python knowledge.
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: NM14061
  • Position Id: 9102074
  • Posted 1 hour ago

Company Info

About Impelsys, Inc.

Impelsys is home to some of the brightest and sharpest minds working in product design, innovation, engineering, software and technology, developing path-breaking products and platforms to delight customers everywhere.

Happy and excited employees lead to happy and excited customers, and that’s why we at Impelsys are constantly on the lookout for exceptional talent who believe in playing as hard as they work.

Impelsys has been a digital transformation partner to some of the largest brands across industry verticals. From building world-class products for our clients to providing technology and learning solutions, we continue to engage with leading enterprises and professional associations in Healthcare, Business Intelligence, Retail, Edtech, Universities, and Fintech verticals.

Impelsys is also a global market leader in delivering impactful, engaging and adaptable online learning solutions for content creators, education providers, and enterprises.

With more than 20 years of experience, 1,000+ experts and over 2,500 tailormade solutions built for our clients, Impelsys works at the intersection of business and technology to help clients succeed. Our expertise in technology solutions, eLearning services, and digital content delivery platforms has allowed us to prepare our clients for the challenges and opportunities ahead.

 

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shivakumar nadageere

shivakumar nadageere

Global Talent Acquisition Lead @ Impelsys, Inc.
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