Senior Healthcare Business Analyst

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Job Title: Senior Healthcare Business Analyst / Clinical Systems Analyst

Location: Hartford, CT / Remote

Duration: 12+ Months

Employment Type: Contract

Experience Required: 10+ Years

Important Note:

The client is seeking a senior-level healthcare Business Analyst with strong healthcare payer and clinical workflow expertise. Candidates with exposure to healthcare platform modernization, data platforms, Lakehouse architectures, and healthcare interoperability standards will be highly preferred.

Job Summary

We are seeking a highly experienced Senior Healthcare Business Analyst to serve as a liaison between clinical stakeholders, business teams, and technology organizations. The ideal candidate will possess deep expertise in healthcare payer operations, clinical workflows, healthcare integrations, and business process analysis.

This role will support healthcare modernization initiatives, clinical systems integration, API-enabled platforms, and enterprise data programs while ensuring compliance with HIPAA, CMS, and Medicare requirements.

The successful candidate will work closely with clinical operations, care management teams, product owners, architects, developers, and data engineering teams to define and deliver strategic healthcare technology solutions.

Required Experience
• 10+ years of Business Analysis experience
• 5+ years in Healthcare, Clinical, or Payer environments
• Experience supporting enterprise healthcare transformation initiatives
• Strong experience gathering and documenting business and functional requirements
• Experience working with healthcare integrations and interoperability standards

Must Have Domain Expertise

Healthcare & Clinical Operations

Strong understanding of:
• Healthcare Payer Systems
• Clinical Operations
• Utilization Management
• Care Management
• Claims Processing
• Provider Management
• Provider Interactions
• Population Health Programs
• Clinical Workflow Analysis

Healthcare Regulations

Strong knowledge of:
• HIPAA Compliance
• CMS Regulations
• Medicare Guidelines
• Healthcare Data Governance
• Regulatory Compliance Requirements

Must Have Technical Skills

Business Analysis

Hands-on experience with:
• Requirements Elicitation
• Business Process Analysis
• Functional Requirements Documentation
• Gap Analysis
• User Story Development
• Acceptance Criteria Definition
• Business Rules Documentation
• Stakeholder Management

Process Modeling

Experience creating:
• Current-State Process Flows
• Future-State Process Flows
• Workflow Diagrams
• Data Flow Diagrams
• Business Process Maps
• Operational Process Documentation

Healthcare Interoperability

Strong knowledge of:
• HL7
• FHIR
• Healthcare APIs
• Clinical Data Exchange
• Healthcare Integration Standards
• Data Interoperability Frameworks

Integration & Data Platforms

Experience supporting:
• API-Based Integrations
• File-Based Integrations
• Data Exchange Solutions
• Healthcare Data Platforms
• Reporting Systems
• Enterprise Data Consumers

Testing & Validation

Experience with:
• User Acceptance Testing (UAT)
• Test Scenario Development
• Test Case Validation
• Business Acceptance Reviews
• Clinical Workflow Validation

Key Responsibilities

Requirements Gathering & Analysis
• Partner with business, clinical, and operational stakeholders
• Conduct discovery sessions and requirements workshops
• Document business, functional, and system requirements
• Translate business needs into technical specifications

Healthcare Workflow Analysis
• Analyze and optimize:
• Utilization Management workflows
• Care Management processes
• Claims workflows
• Provider interaction processes
• Identify process gaps and improvement opportunities

System Integration Support
• Support healthcare integrations involving:
• APIs
• File-based integrations
• HL7 interfaces
• FHIR integrations
• Reporting systems
• Collaborate with architects and engineering teams

Process Improvement
• Develop current-state and future-state workflows
• Recommend modernization opportunities
• Identify operational inefficiencies and risks
• Drive business process optimization initiatives

Testing & Validation
• Participate in UAT planning and execution
• Validate solutions against business requirements
• Ensure compliance with healthcare regulations
• Support production readiness activities

Stakeholder Management
• Serve as liaison between:
• Clinical users
• Business SMEs
• Product teams
• Development teams
• Architecture teams
• Facilitate communication throughout project delivery

Preferred Qualifications

Healthcare Technology

Experience with:
• Healthcare Data Platforms
• Clinical Systems Modernization
• Population Health Solutions
• Care Management Platforms
• Claims Processing Systems

Data & Analytics

Exposure to:
• Enterprise Data Warehousing
• Lakehouse Architectures
• Healthcare Data Lakes
• Reporting Platforms
• Data Governance Programs

Modernization Programs

Experience supporting:
• Digital Transformation Initiatives
• Platform Modernization
• Cloud Migration Programs
• Enterprise Data Modernization

Soft Skills
• Excellent communication and facilitation skills
• Strong stakeholder management abilities
• Analytical and problem-solving mindset
• Ability to work independently and collaboratively
• Strong documentation and presentation skills
• Ability to translate complex technical concepts into business language