Senior Healthcare Business Analyst

Overview

Job Title: Senior Healthcare Business Analyst / Clinical Systems Analyst

Location: Hartford, CT / Remote

Duration: 12+ Months

Employment Type: Contract

Experience Required: 10+ Years

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.

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, and architecture teams
  • Facilitate communication throughout project delivery

Qualifications

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

• HIPAA Compliance
• CMS Regulations
• Medicare Guidelines
• Healthcare Data Governance
• Regulatory Compliance Requirements

Must Have Technical Skills

• Business Analysis
  • Requirements Elicitation
  • Business Process Analysis
  • Functional Requirements Documentation
  • Gap Analysis
  • User Story Development
  • Acceptance Criteria Definition
  • Business Rules Documentation
  • Stakeholder Management
• Process Modeling
  • Current-State Process Flows
  • Future-State Process Flows
  • Workflow Diagrams
  • Data Flow Diagrams
  • Business Process Maps
  • Operational Process Documentation
• Healthcare Interoperability
  • HL7
  • FHIR
  • Healthcare APIs
  • Clinical Data Exchange
  • Healthcare Integration Standards
  • Data Interoperability Frameworks
• Integration & Data Platforms
  • API-Based Integrations
  • File-Based Integrations
  • Data Exchange Solutions
  • Healthcare Data Platforms
  • Reporting Systems
  • Enterprise Data Consumers
• Testing & Validation
  • User Acceptance Testing (UAT)
  • Test Scenario Development
  • Test Case Validation
  • Business Acceptance Reviews
  • Clinical Workflow Validation

Preferred Qualifications

Healthcare Technology

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

Data & Analytics

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

Modernization Programs

• 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