Senior Business Analyst in healthcare/clinical domain

Diverse Lynx is a company that focuses on providing business solutions in the healthcare sector. They are seeking a Senior Business Analyst who will act as a bridge between clinical stakeholders and IT, translating needs into clear business and system requirements.

Responsibilities:

• Act as a bridge between clinical stakeholders, business teams, and IT, translating clinical and operational needs into clear business and system requirements
• Partner with clinical, operational, and product stakeholders to elicit, analyze, and document business and functional requirements
• Develop current-state and future-state process flows, workflows, and data flow diagrams
• Translate requirements into functional specifications, user stories, and acceptance criteria for development teams
• Analyze clinical workflows such as: Utilization Management, Care Management, Claims, Provider interactions
• Support system integrations involving: APIs, File-based integrations, HL7/FHIR interfaces, Downstream reporting consumers
• Participate in UAT planning and execution, ensuring solutions meet clinical and regulatory needs
• Identify gaps, risks, and opportunities for process optimization and system modernization
• Ensure alignment with healthcare regulations and standards, including: HIPAA, CMS, Medicare guidelines
• Act as a liaison between business SMEs, clinical users, and technical teams throughout delivery

Requirements:

• Experience Required: 10 & Above
• Act as a bridge between clinical stakeholders, business teams, and IT, translating clinical and operational needs into clear business and system requirements
• Partner with clinical, operational, and product stakeholders to elicit, analyze, and document business and functional requirements
• Develop current-state and future-state process flows, workflows, and data flow diagrams
• Translate requirements into functional specifications, user stories, and acceptance criteria for development teams
• Analyze clinical workflows such as Utilization Management, Care Management, Claims, Provider interactions
• Support system integrations involving APIs, File-based integrations, HL7/FHIR interfaces, Downstream reporting consumers
• Participate in UAT planning and execution, ensuring solutions meet clinical and regulatory needs
• Identify gaps, risks, and opportunities for process optimization and system modernization
• Ensure alignment with healthcare regulations and standards, including HIPAA, CMS, Medicare guidelines
• Act as a liaison between business SMEs, clinical users, and technical teams throughout delivery
• Skills: Clinical workflows, Payer systems
• Experience with Requirements elicitation, Process modeling, Documentation
• Working knowledge of healthcare data interoperability standards: HL7
• Experience supporting API-based and data-intensive healthcare applications
• FHIR (preferred)