Business Analyst (CMS Interoperability HL7, EDI)

Pyramid Consulting, Inc. is a leading Healthcare Industry firm, currently seeking a Senior Business Analyst with expertise in CMS Interoperability, HL7, and EDI. The role involves driving program-level planning, managing business requirements for healthcare data systems, conducting gap analysis, and guiding system integration solutions.

Responsibilities:

• We are seeking a Senior Business Analyst to Drive program-level planning and manage business requirements for healthcare data systems
• Conduct gap analysis , needs assessments, and resource planning to support project execution
• Develop cost models and business case justifications for new initiatives
• Oversee research efforts — market, operational, financial — to advise strategic direction
• Work with engineering and product leads to guide system integration and data exchange solutions
• Define and document interface requirements between systems

Requirements:

• Strong skills in requirements HL7, FHIR, EDI 835
• CMS Interoperability
• Bachelor's degree in a relevant discipline
• 4 years of experience in business analysis or data integration roles within healthcare, payer, or health IT
• Hands-on experience in supporting data exchange/integration workflows, claims processing, and remittance logic
• Proficiency in data validation, profiling, and transformation
• Ability to communicate complex ideas in business-friendly language