Business Analyst - Health IT

CORMAC is seeking a Business Analyst to translate CMS policy, regulatory, and stakeholder needs into requirements for the CMS Reporting and Quality division. The role bridges CMS program staff and engineering teams, supporting quality measure implementation, reporting, and quality measure inventory management.

Responsibilities:

• Elicit, analyze, and document business and functional requirements, user stories, and acceptance criteria for program reports, dashboards, data feeds, and system enhancements
• Translate evolving CMS policy, federal rulemaking, and sub-regulatory updates, including requirements from the ACA and the IMPACT Act, into maintainable, testable requirements
• Maintain the quality measure inventory and perform impact assessments when quality measures are added, removed, or modified
• Analyze quality measure specifications, including claims-based, patient assessment, and hybrid measures, and partner with developers and Data Engineers to confirm accurate implementation
• Conduct business process analysis and document current and future state workflows
• Support analysis of provider demographic data and identifier matching rules, and of the data flows from Medicare claims repositories
• Participate in SAFe Agile ceremonies, including backlog refinement, sprint planning, and demonstrations, and manage stakeholder feedback
• Work with QA Engineers to develop test scenarios and support user acceptance testing
• Document requirements for reports and dashboards, including Section 508 accessibility needs and role-based access via HARP/IDM
• Document measure logic and business rule requirements in a form that can be implemented and tested in a rules engine (for example Drools) and in database logic
• Define dashboard and report requirements for Tableau-based analytics and executive reporting
• Communicate requirements, status, and impacts to CMS stakeholders and project teams

Requirements:

• Bachelor's degree in Business, Health Informatics, Information Technology, Public Health, or a similar field
• Must be a U.S. Citizen
• Minimum of 5+ years of experience as a business analyst or requirements analyst on IT projects
• Experience writing requirements, user stories, and acceptance criteria in an Agile environment
• Experience with business process analysis and stakeholder facilitation
• Ability to interpret technical specifications and regulatory or policy documents
• Strong analytical skills, including working knowledge of SQL or data analysis to review data and outputs
• Strong written and verbal communication skills, with the ability to work with Government stakeholders and technical teams
• Master's degree in a relevant field
• Experience with CMS quality reporting and Value-Based Purchasing programs
• Understanding of clinical quality measure specifications, including electronic clinical quality measures (eCQM) and claims-based measures, and the measure lifecycle
• Experience with Medicare claims data and with provider data such as CCNs and NPIs
• Experience with SAFe Agile, Product Owner, or similar certification
• Experience with Section 508 accessibility requirements for reports and dashboards
• Experience with Tableau or similar dashboard tools
• Familiarity with business rules management systems such as Drools