Remote Senior Healthcare Operations Tech Analyst

Emboss Specialty

Miami (FL)

Remote

USD 110,000 - 120,000

Full time

3 days ago

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Job summary

Emboss Specialty is seeking a Senior Technical Business Analyst for Healthcare Operations in Miami. The role bridges health plan operations and technical teams to deliver value-driven solutions across claims, utilization management, and prior authorization.

You will partner with clients to translate requirements into actionable features and drive transformative improvements. You will become the go-to expert across business, technology, and client teams, ensuring delivery aligns with strategic

Qualifications

7+ years of healthcare experience in payer or value-based care environments.
Deep knowledge of claims handling, utilization management, prior authorization, and benefits management.
Strong technical fluency: communicating requirements, shaping designs, user stories, test cases.
10+ years managing stakeholder and client relationships across competing initiatives.

Responsibilities

Identify opportunities for improvement with stakeholders and translate needs into product features with tech leads.
Drive process improvements and create scalable solutions with measurable impact.
Develop expertise in claims handling, utilization management, prior authorization, and related workflows.
Document current and future processes for different audiences to align business, tech, and client teams.
Keep teams focused on high-value problems and avoid scope creep.
Organize client needs into patterns and configurable solutions for flexibility.
Translate user needs into clear user stories and validate delivered capabilities.