Consulting Automation Analyst

HCA Healthcare, Inc.; Nashville (TN); On-site; USD 90,000 - 140,000; Full time

Job summary

HCA Healthcare ITG is seeking a Consulting Automation Analyst to drive automation initiatives across payer interoperability and healthcare data exchanges. You will partner with Product Managers and stakeholders to translate objectives into actionable requirements, epics, and user stories, and guide implementation across enterprise systems.

You will also support QA, ensure compliance with HIPAA and data standards, and mentor teammates while leveraging standards like FHIR, REST, HL7, and EDI/X12

Qualifications

• Experience translating business requirements into product and system solutions.
• Strong documentation, workshops, and stakeholder communication skills.
• Familiarity with healthcare data standards and interoperability concepts.

Responsibilities

• Serve as a senior analysis resource for healthcare payer interoperability initiatives.
• Translate business objectives and regulatory needs into detailed requirements.
• Develop epics, features, user stories, and acceptance criteria for Agile teams.
• Support interoperability products using FHIR, REST APIs, HL7, and EDI/X12.
• Collaborate with QA, architects, and product management to ensure correct delivery.

Skills

Documentation

Process Improvement

Solution Design

Communication

Testing

Implementation Knowledge

Facilitation

Requirements

Leadership

Planning

Education

Bachelor's Degree

Masters preferred

Tools

Scripting

Version Control

Job description

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Consulting Automation Analyst today with HCA Healthcare.

What makes ITG unique as a technology company is that our solutions ultimately impact the care of patients. Although our skills are needed in a number of industries, we in ITG apply them specifically to the noble cause of healthcare. We are "Healthcare Inspired." It is this guiding vision that pervades and positively influences every level of our organization. It shapes our mission, defines our values, and brings our leaders and employees together in a shared enthusiasm for their work, setting ITG apart as a uniquely purpose-driven company in the IT industry. As a part of that, we exist to Raise the bar, Unlock possibilities, and Care like family. HCA ITG Consulting Automation Analysts are innovative individuals who use creativity and stakeholder partnerships to deliver business value. Consulting Automation Analysts utilize process and technical expertise and leadership skills to direct staff and resolve issues to ensure automation programs and requirements are met. Consulting Automation Analysts ensure the execution on automation efforts with enterprise interdependencies, size, visibility, and complexity levels and communicate across multiple channels including ITG and Business Operations, to define an initiative’s design and document desired solutions, develop automatons according to best practices and guidelines, and test automations to approved plans. Consulting Automation Analysts have ownership of their efforts from conception, through the deployment of their products, including turnover to the appropriate technical and user support organizations. As a recognized leader, Consulting Automation Analysts will be sought after to coach and mentor colleagues. Consulting Automation Analysts also serve as automation and process consultants to other ITG and Business Units. Consulting Automation Analysts use their expansive technical and business expertise to inform decisions around process reengineering, technical feasibility, program management, standards and best practices, and support functions. Consulting Automation Analysts are the face of the Automation Center of Excellence’s programmatic expertise to the rest of HCA.

CORE COMPETENCIES

• Documentation
• Process Improvement/Redesign
• Solution Design
• Communication, Diplomacy and Advocacy
• Testing
• Implementation Knowledge
• Facilitation/Presentation
• Requirements
• Leadership
• Planning

VALUABLE SKILLS

• Technology Evaluation
• Domain Knowledge
• Scripting
• Version Control

SPECIALIST/EMERGING SKILLS

• AI/AIOps
• Machine Learning
• Contract Negotiation/Vendor Relations
• Statistics and Data Science

Major Responsibilities

• Serve as a senior business and product analysis resource for healthcare payer interoperability initiatives, supporting products from discovery and requirements definition through implementation and production rollout.
• Partner with Product Managers and business stakeholders to understand business objectives, customer needs, regulatory requirements, and interoperability use cases and translate them into actionable product requirements.
• Gather, analyze, document, and manage detailed business, functional, data, integration, and non-functional requirements for digital payer interoperability products.
• Develop well-defined epics, features, user stories, use cases, acceptance criteria, business rules, process flows, and functional specifications for Agile engineering teams.
• Support interoperability products leveraging FHIR, REST APIs, HL7, EDI/X12, and clinical data exchange standards.
• Develop a strong understanding of payer interoperability workflows involving members, providers, claims, encounters, eligibility, prior authorization, clinical information, and other healthcare data domains.
• Analyze FHIR-based interoperability requirements and collaborate with architects and engineering teams on FHIR resources, profiles, APIs, implementation guides, terminology, mappings, and validation requirements.
• Support analysis and implementation of applicable interoperability capabilities such as Patient Access, Provider Access, Payer-to-Payer data exchange, Prior Authorization, and related payer interoperability use cases.
• Analyze clinical data exchange requirements, including data sourcing, mapping, transformation, validation, reconciliation, and downstream consumption.
• Support healthcare EDI/X12 transaction requirements, including transactions such as 270/271, 276/277, 278, 834, 835, and 837, where applicable.
• Perform detailed source-to-target data analysis and mapping across payer platforms, clinical systems, FHIR resources, APIs, EDI transactions, and downstream applications.
• Create business process flows, data-flow diagrams, integration workflows, sequence/use-case documentation, and current-state/future-state process models.
• Facilitate requirements workshops and working sessions involving business SMEs, Product Owners, architects, developers, QA teams, operations teams, and external partners.
• Identify requirement gaps, dependencies, assumptions, risks, and conflicting business rules and drive them toward resolution before development.
• Partner with Solution Architects and Engineering teams to ensure business requirements are correctly translated into scalable and reusable technical solutions.
• Work closely with QA teams to develop test scenarios, test cases, traceability, and acceptance criteria and support system integration testing and user acceptance testing.
• Validate delivered functionality against approved requirements and ensure solutions meet the intended business and customer outcomes.
• Support API and integration testing by validating request/response behavior, business rules, data mappings, error conditions, and expected outcomes.
• Analyze production issues and interoperability failures by working with engineering and operations teams to identify business, data, mapping, integration, or requirements-related root causes.
• Support onboarding of providers, payers, vendors, trading partners, and other external healthcare organizations to interoperability products and services.
• Partner with Product Management to maintain and refine the product backlog, ensuring requirements are appropriately prioritized, sufficiently detailed, and ready for engineering teams.
• Maintain requirements traceability from regulatory/business requirements through product features, user stories, implementation, testing, and production release.
• Analyze regulatory and industry changes affecting payer interoperability and help translate them into business requirements, product impacts, implementation needs, and backlog items.
• Collaborate with Compliance, Legal, Security, Privacy, and Product teams to ensure solutions appropriately address HIPAA, PHI, consent, privacy, security, and applicable healthcare regulatory requirements.
• Define and analyze product and operational metrics such as API utilization, transaction volumes, success/failure rates, data quality, partner onboarding, processing times, and customer experience.
• Identify opportunities to improve and automate business processes and promote standardized, reusable interoperability capabilities rather than one-off integrations.
• Provide subject-matter guidance and mentorship to other analysts and contribute to business analysis standards, templates, documentation practices, and delivery best practices.
• Communicate requirements, dependencies, risks, decisions, and implementation impacts effectively to both technical and non-technical stakeholders.

What qualifications you will need:

• Bachelors Degree required, Masters preferred
• Seven or more years of experience in a Systems Engineering, Analyst or Developer Required

Licenses, Certifications, & Training:

• Google cloud provider Preferred
• Agile & Scrum master Required
• FHIR Required

Knowledge, Skills, Abilities, Behaviors:

• Ability to write efficient, easy-to-follow documentation on automation tools, scripts, and processes Required
• Ability to evaluate automation utilizing Six-Sigma principles for improvement opportunities Required
• Understanding of common healthcare EDI transactions such as 270/271, 276/277, 278, 834, 835, and 837 Required
• Hands-on functional or technical understanding of FHIR, HL7, EDI/X12, REST APIs, and healthcare interoperability concepts. Required
• Experience with enterprise