Business Analyst

OwlSure; New Jersey; On-site; USD 110,000 - 160,000; Full time

Job summary

ValueMomentum is seeking a Lead Business Analyst for our Technology Center to drive end-to-end requirements for ePA, CRD, DTR, and PAS within regulatory and interoperability programs. You will lead sessions across business, operations, and technology teams and partner with Availity to ensure traceability and successful testing.

The ideal candidate has 8+ years as a BSA/PO/PM, strong facilitation, and stakeholder management skills. Knowledge of CMS-0057-F, HL7, and FHIR is highly preferred.

Qualifications

• 8+ years as BSA/Product Owner/Product Manager.
• Strong facilitation and stakeholder management skills.

Responsibilities

• Own end-to-end business and functional requirements for ePA, CRD, DTR, and PAS.
• Facilitate requirement sessions across business, operations, and technology teams.
• Translate regulatory requirements into business and technical requirements.
• Maintain requirements traceability from CMS regulations through implementation and testing.
• Act as primary day-to-day requirements lead with Availity.
• Review vendor assumptions, solution designs, workflows, and implementation approaches.
• Track gaps, risks, dependencies, and open decisions.
• Understand CRD, DTR, PAS, Patient Access, Provider Access, and Payer-to-Payer workflows.

Skills

BSA/PO/PM exp

Facilitation skills

Job description

At ValueMomentum’s Technology Center, we are a team of passionate engineers who thrive on tackling complex business challenges with innovative solutions while transforming the P&C insurance value chain. We achieve this through strong engineering foundation and continuously refining our processes, methodologies, tools, agile delivery teams, and core engineering archetypes. Our core expertise lies in six key areas: Cloud Engineering, Application Engineering, Data Engineering, Core Engineering, Quality Engineering, and Domain expertise.

Role – Lead Business Analyst

Primary Responsibilities

Requirements Leadership

• Own end-to‑end business and functional requirements for ePA, CRD, DTR, and PAS.
• Facilitate requirement sessions across business, operations, and technology teams.
• Translate regulatory requirements into business and technical requirements.
• Maintain requirements traceability from CMS regulations through implementation and testing.
• Act as primary day‑to‑day requirements lead with Availity.
• Review vendor assumptions, solution designs, workflows, and implementation approaches.
• Track gaps, risks, dependencies, and open decisions.

FHIR & Interoperability Analysis

• Understand CRD, DTR, PAS, Patient Access, Provider Access, and Payer-to-Payer workflows.
• Analyze FHIR resource requirements and data mapping needs.
• Partner with API teams on business workflow impacts.

Cross-Team Coordination

Testing & Readiness

• Coordinate end-to‑end testing.

Required Experience

Must Have

• 8+ years as BSA/Product Owner/Product Manager
• Strong facilitation and stakeholder management skills

Highly Preferred

• FHIR
• CMS-0057-F
• CRD/DTR/PAS
• HL7
• Interoperability programs
• Utilization Management workflows
• Medical Policy systems.

ValueMomentum is an Equal Opportunity Employer committed to fostering a diverse and inclusive workplace. We make all employment decisions based on qualifications, merit, and business needs, without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, protected veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local law.

We are also committed to providing reasonable accommodations to qualified individuals with disabilities and applicants throughout the recruitment process, in accordance with applicable laws