Healthcare BA
Remote
Long term contract
Must have strong experience with HEDIS/NCQA, HL7/FHIR standards, Azure and Databricks.
Seeking an experienced Healthcare Business Systems Analyst (BSA) with strong healthcare domain, business, and data analysis skills to support data integration, regulatory reporting (HEDIS/NCQA), and strategic initiatives within Azure and Databricks.
Key Responsibilities
- Analyze and map upstream healthcare data, including claims, eligibility, provider, encounter, and supplemental data.
- Translate business requirements into functional documents, user stories, and comprehensive source-to-target mappings.
- Perform complex SQL-based data analysis using Databricks to validate data accuracy and troubleshoot issues.
- Facilitate requirement walkthroughs with business, development, QA, and data engineering teams.
- Support User Acceptance Testing (UAT), defect resolution, data quality validations, and reconciliation processes.
- Participate in Agile ceremonies, track project dependencies, and ensure full requirement traceability.
Required Qualifications
5+ years of healthcare IT experience alongside a Bachelor's degree in Computer Science, Information Systems, or a related field.
3+ years of data management and data lake experience within a healthcare payer organization (Payer/MCO).
3+ years of hands-on experience working with HEDIS or other healthcare quality measurement data.
Strong technical expertise in Azure, Azure Databricks, and executing complex SQL queries.
Experience working with Power BI or Tableau, HL7/FHIR standards, and CMS Interoperability.
Proficiency across core healthcare data domains: Member, Provider, Claims, Authorization, Pharmacy, and Clinical.