Partner Discovery & Requirements Analysis
- Lead and document working sessions with clinical, finance, operations, product, and technical stakeholders to understand existing workflows, business rules, data requirements, and operational processes
- Translate manual and system-supported workflows into structured business and functional requirements
- Produce gap-analysis documentation mapping current-state processes and partner requirements to existing platform capabilities
- Classify requirements based on appropriate disposition, such as existing functionality, configuration, new development, acceptable operational workaround, shared platform enhancement, or out of scope
- Maintain a consistent backlog structure across implementations so requirements remain comparable, traceable, and reusable
System Reconciliation & Technical Analysis
- Analyze application logic, SQL, stored procedures, configuration parameters, integrations, and data flows to understand existing system behavior
- Determine whether business requirements can be satisfied through configuration, existing functionality, process changes, or new development
- Validate assumptions about platform behavior against available technical evidence and distinguish confirmed system behavior from inferred behavior
- Identify discrepancies between documented behavior, stakeholder expectations, system configuration, and implemented logic
- Trace business rules to underlying parameters, data elements, calculations, integrations, and system components
- Identify where behaviors are configurable versus hardcoded and assess the impact on future implementations
Requirements Authoring
- Write clear business and functional requirements, user stories, acceptance criteria, assumptions, dependencies, open questions, and proposed workarounds
- Maintain appropriate separation between business-facing requirements and technical implementation details
- Ensure acceptance criteria reflect the agreed solution approach, including configuration changes, operational workarounds, or new functionality
- Apply a consistent standard for distinguishing standalone requirements from assumptions, configuration decisions, implementation details, or operational procedures
- Maintain traceability from business need through solution decision and development implementation
Cross-Functional Facilitation & Governance
- Facilitate requirements, solutioning, and review sessions across business, clinical, product, engineering, data, and operational teams
- Drive open questions toward resolution and update requirements and documentation to reflect confirmed decisions
- Identify ambiguity, conflicting requirements, downstream impacts, and cross-feature dependencies before development begins
- Prevent scope drift and ensure implementation-specific requirements do not unintentionally become platform-wide requirements
- Support prioritization and decision-making by clearly communicating business impact, implementation complexity, dependencies, and risk
Ticket Creation & Scoping
- Translate approved requirements into development-ready tickets containing problem statements, user stories, functional scope, acceptance criteria, dependencies, assumptions, and open questions
- Partner with engineering and architecture teams to clarify technical scope and implementation approach
- Track dependencies across features, integrations, implementations, and shared platform capabilities
- Identify common capabilities that can support multiple clients, workflows, or future implementations rather than creating one-off solutions
Requirements
- 8+ years of experience as a Business Analyst, Technical Product Manager, Product Owner, or equivalent role in a software-, data-, or technology-driven environment
- Experience working within healthcare technology, healthcare operations, payer/provider systems, pharmacy, claims, revenue cycle, eligibility, or related healthcare domains
- Ability to understand and reason about SQL, data structures, system logic, APIs, configuration, and technical workflows well enough to validate platform behavior and collaborate effectively with engineering teams
- Demonstrated ability to write clear requirements, user stories, acceptance criteria, and development tickets that engineering teams can implement with minimal rework
- Strong analytical rigor with the ability to distinguish confirmed facts from assumptions, challenge unclear reasoning, and validate conclusions
- Experience facilitating requirements and solution-review sessions involving business, clinical, operational, and technical stakeholders
- Strong written and verbal communication skills, with the ability to adapt business and technical information for different audiences
Preferred Qualifications
- Familiarity with healthcare claims, eligibility, reimbursement, clinical workflows, pharmacy operations, or healthcare financial processes
- Experience working with configurable or rules-driven healthcare platforms
- Experience supporting client, provider, health system, or partner implementations
- Understanding of data pipelines, ETL processes, APIs, healthcare integrations, and data exchange concepts
- Experience managing a shared product backlog across multiple customers, implementations, or business units
- Familiarity with healthcare data standards, regulatory requirements, or privacy considerations such as HIPAA
Key Competencies
- Requirements elicitation and translation
- Healthcare workflow analysis
- Technical and data analysis
- System behavior reconciliation
- Product and backlog management
- Stakeholder facilitation and decision-driving
- Cross-functional collaboration
- Analytical rigor and structured problem-solving
- Dependency and impact analysis
- Documentation discipline and traceability