About the Role
We are looking for a Technical Business Analyst (BA) with a strong understanding of healthcare workflows and systems — especially in the context of Digital & Manual Retrieval or HEDIS. This role bridges the gap between Product, Engineering, Clinical SMEs, and Operations by translating complex business requirements into clear, actionable specifications. You will play a key role in shaping system behavior, ensuring delivery quality, and aligning solutions to end‑user workflows.
Required Qualifications
- 4–8 years of experience as a BA, in US healthcare IT, clinical data, or payer‑side products
- Strong understanding of Chart Retrieval processes, or HEDIS abstraction workflows
- Comfortable working in Agile/Scrum environment (certification must)
- Exceptional communication, documentation, and stakeholder alignment skills
Key Responsibilities
Requirements & Analysis
- Gather, validate, and document business and technical requirements from cross‑functional teams
- Collaborate with Product Owners to break down Epics/Features into detailed User Stories
- Write comprehensive BRDs/FRDs, workflows, and use cases
- Own and maintain mapping documents, data dictionaries, and interface specs
Technical Understanding
- Understand backend processes like data ingestion, OCR, NLP/NLU transformation, and routing logic
- Lead impact assessments when changes are made to upstream or downstream systems
Testing & Validation
- Define acceptance criteria, edge cases, and negative test scenarios
- Assist QA teams in test planning and validating feature behavior
- Participate in UAT with end users and triage feedback in collaboration with Product Owners
Stakeholder Collaboration
- Facilitate grooming and technical walkthroughs with Engineering, QA, and DevOps
- Act as a bridge between business & tech teams, ensuring alignment throughout delivery
- Support implementation planning, documentation handoff, and post‑release support
Success Metrics
- Accuracy & clarity of requirements (rework/clarification rate <10%)
- Percentage of test cases directly mapped to acceptance criteria
- Story delivery velocity (based on estimation accuracy and backlog readiness)
- Requirement coverage of edge cases, exceptions, and regulatory compliance
Bonus Skills
- Experience in NLP/NLU model workflows and AI output validation
- Familiarity with healthcare compliance standards (e.g., HIPAA)
- Exposure to chart review, CCD/CCDA parsing, or provider‑facing workflows
- Ability to read/analyze clinical data, ICD-10, HL7/FHIR, or related data standards
Ideal Mindset
- Analytically rigorous, yet practical with MVP‑first thinking
- Translate ambiguity into clarity, assumptions into logic
- See yourself as a co‑owner of the delivery, not just a requirement gatherer
- Passionate about improving healthcare through structured, scalable solutions
About Advantmed
We are a technology‑driven healthcare solutions provider, focused on streamlining clinical and administrative workflows for both payers and providers. Our core offerings include: Traditional & Digital Medical Record Retrieval. Our solutions leverage deep domain expertise and AI/NLP technology to drive improved coding accuracy, regulatory compliance, and financial performance.
How to Apply
If you would like to pursue this position, please mail your updated resume at sagar.raisinghani@advantmed.com, along with the following details:
- Total Experience
- Current Designation
- Current CTC
- Expected CTC
- Notice Period
- Current Location
Seniority level
Associate
Employment type
Full‑time
Job function
Information Technology, Product Management, and Strategy/Planning
Industries
IT Services and IT Consulting, IT System Custom Software Development, and Hospitals and Health Care