Sr. Clinical Business AnalystReston, VA - local RemoteThis position is 100% and is a 12-month contract with possible extensions. Client is seeking a Clinical-focused Business Analyst to support a new mandate (CMS-0057 F).
The selected Business Analyst will lead large stakeholder meetings to extract requirements to meet the new SLA's of this mandate, document, validate, and clarify requirements for Interoperability APIs with a focus on Prior Authorization. Other responsibilities include:Provide requirements mapping detailsLead requirements end-to-end between the business, IT, and testing teamsResponsible for end-to-end requirements traceabilityRequired Skills:8 years as a BA with min. of 5 recent years within a Clinical environmentExcellent requirement gathering skills!
Must have experience leading stakeholder meetings to extract requirements, then create documentation artifacts for the technical teams' review.Knowledge of CMS-0057 FPrior experience with Utilization MGT, Clinical Management/OperationsExperience with any leading Utilization MGT platform. GuidingCare is HIGHLY preferred. Open to InterQual or MCG as secondary optionsInteroperability and API knowledge are required.Prior experience with end-to-end requirements gathering lifecyclePrior experience with requirements traceability managementExcellent communication and presentation skills for a multi-party project environment