Business Analyst - Healthcare

Description
Job Functions: • Analyze, map and create requirements to transform healthcare data from upstream sources like claims, eligibility, provider, encounter and supplemental data • Translating Functional Requirements from HEDIS team into technical requirements and User Stories • Perform hands on data analysis using SQL, Databricks, and related tools to validate data, troubleshoot issues, and support design decisions • Partner with Engineering teams to deliver HEDIS product enhancements as per needs of the business. • Document business and technical requirements, source to target mappings, data specifications, business rules, and process flows • Implement robust data quality checks and auditing processes across data ingestion, transformation, and reporting layers. • Participate in annual HEDIS submission cycles—supporting data extraction, validation, and Audits. • Develop dashboards and visualizations in Power BI • Support ad-hoc analysis, root-cause investigations, and quality improvement initiatives tied to HEDIS measures and STAR ratings. • Participate in project planning; identifying milestones, deliverables and resource requirements; tracks activities and task execution. • Ability to recognize business needs, limitations with existing products/platforms to meet those needs and providing creative solutions to advance data lake maturity. • High degree of integrity, confidence, self-awareness & learning agility • Problem-solving and entrepreneurial mindset - driven to create and innovate. Required Qualifications: • Over 5+ years of healthcare IT experience • Bachelor’s degree in computer science, Information Systems, Data Analytics, or a related field. • Experience with HEDIS Data sources, data ingestion and extra.