Commence is at the forefront of data-centric transformation in healthcare, aiming to elevate health outcomes through efficient processes. The Senior Business Analyst will lead requirements management and business process transformation for a CMS-supported case management system, ensuring compliance and scalability.
Responsibilities:
- Lead requirements management, business process transformation, and stakeholder engagement activities for a case management system supporting the Centers for Medicare & Medicaid Services
- Guide junior analysts, influence solution design, and ensure end-to-end traceability from requirements through implementation and operations
- Lead complex requirements elicitation across multiple CMS stakeholders and business units
- Define enterprise-level functional and non-functional requirements
- Establish and enforce requirements management standards and best practices
- Ensure full traceability (RTM) from requirements through testing and deployment
- Support audit readiness and compliance reviews
- Establish documentation standards and governance processes
- Lead analysis and redesign of end-to-end case management workflows: Intake & eligibility, Case assignment & triage case lifecycle management, and Reporting & outcomes tracking
- Identify optimization opportunities and drive process reengineering initiatives
- Align workflows with CMS regulatory and operational goals
- Define enterprise data requirements and governance approaches
- Collaborate with architects and engineers on data models, APIs, and reporting frameworks
- Partner with Product Owners to define and prioritize strategic backlog items
- Serve as primary interface between CMS leadership, business users, and technical teams
- Facilitate workshops, briefings, and solution reviews
- Translate complex technical concepts into clear business language
Requirements:
- Bachelor's degree in business, healthcare, IT, or related field
- 8–12+ years of Business Analysis experience
- 3+ years supporting federal healthcare programs (CMS strongly preferred)
- Proven experience leading large-scale case management or healthcare IT implementations
- Strong experience in Agile delivery environments
- Advanced requirements elicitation and facilitation
- Business process modeling and reengineering (BPMN, workflow design)
- Data analysis, mapping, and governance
- Strong leadership, communication, and stakeholder management
- Expertise with tools such as Jira, Confluence, Azure DevOps
- Direct experience supporting CMS initiatives
- Experience with healthcare data formats (CDA, HL7, FHIR)
- Agile certifications (e.g., SAFe, Scrum) certifications