healthcare business analyst

The Acadian Companies

<div>The candidate is responsible for handling mid-level support of custom developed accounts receivable software, independent research, and rule authoring. Rule authoring is a form of software development that includes complex computational analysis of system events, conditions, actions, sequencing, branch analysis, and chaining/recursion. Our current rules engine has hundreds of thousands of rules and millions of condition checks that require precise grouping and sequencing to ensure continuity of automated revenue cycle processes. Managing a robust and complex business rule set, as part of a team, includes functions similar to that of software development: debugging, troubleshooting, research, and new rule development.
<h2 class="jobSectionHeader">Job Tasks</h2>
<ul><li>Complete rule adjustments for allowables and charges</li>
<li>Assist in troubleshooting application issues</li>
<li>Create effective systems documentation</li>
<li>Develop knowledge of the business and workflows</li>
<li>Analyze logical conditional pathways to confirm expected results</li>
<li>Determine business impacts on workflow and assist in the development of new workflows</li>
<li>Interpret business requirements into technical specifications
</li><li>Develop on-going strategies for productivity improvements
</li><li>Analyze rules for logical completeness, correctness, and optimization</li>
<li>Coordinate and prioritize multiple projects and deadlines
</li><li>Conduct independent research with technical staff and subject matter experts</li>
<li>Recommend changes in testing methods as needed</li>
<li>Communicate complex information simply</li>
<li>Complete other assigned responsibilities</li>
<li>Other Continuity of Operations Duties as assigned</li>
</ul><h2 class="jobSectionHeader">Qualifications</h2>
<ul><li>Minimum of 3 years of experience in healthcare software systems
</li><li>Bachelor's degree in Health Information Management, Computer Science, MIS, Informatics preferred</li>
<li>1 year of claims processing and reimbursement policy experience or equivalent knowledge preferred</li>
<li>Proficiency with Microsoft Office</li>
<li>Proficiency querying Microsoft SQL Server or other relational database is a plus</li>
<li>Knowledge of structured programming techniques and database methodologies is a plus</li>
</ul>
 
Req Benefits: We offer comprehensive insurance benefits for full-time employees, including but not limited to Medical, Dental, Vision coverages, along with 401(k) and ESOP (Employee Stock Ownership Program), and Vacation and Sick time.</div>

Healthcare Business Rules Analyst

Pukat Technology Pvt Ltd

Job: Clinical Analyst / Business AnalystTeam: Project ImplementationWhat You&rsquo;ll Do<ul><li>Showcase the system through demos and guide users step-by-step.</li><li>Understand how hospitals and clinics operate, then convert those needs into system requirements.</li><li>Improve workflows by aligning processes with system capabilities (BPR &amp; BPA).</li><li>Support documentation like requirement specs, workflows, and process maps.</li><li>Work closely with the implementation team to deliver projects successfully.</li><li>Set up and customize the system (users, forms, nursing notes, checklists, charts, etc.).</li><li>Assist clients in preparing and uploading data accurately into the system.</li><li>Test new features and ensure everything works as expected before release.</li><li>Create simple, easy-to-follow user manuals and training materials.</li><li>Train users and ensure they are confident using the system.</li><li>Plan and execute testing phases (FAT &amp; UAT) with stakeholders.</li><li>Support clients during go-live and help them adapt smoothly.</li><li>Continuously gather feedback and suggest system improvements.</li></ul>What We&rsquo;re Looking For<ul><li>A degree in IT, Computer Science, or any healthcare-related field (Nursing, Pharmacy, Medicine, etc.).</li><li>2&ndash;5 years of experience in healthcare systems or hospital environments.</li><li>Solid understanding of clinical workflows and operations.</li><li>Experience with systems like HIS, PMS, LIS, or similar platforms.</li><li>Ability to turn real-world clinical needs into clear documentation.</li><li>Strong problem-solving mindset with attention to detail.</li><li>Good communication skills and confidence in dealing with clients.</li></ul>Nice to Have<ul><li>Familiarity with Agile or Scrum ways of working.</li><li>Experience using tools like Jira or Confluence.</li><li>Basic knowledge of integrations and APIs.</li><li>Understanding of medical coding standards (ICD, CPT, SNOMED).</li></ul>Who You Are<ul><li>Detail-oriented and analytical</li><li>Comfortable working with both technical teams and healthcare professionals</li><li>A team player who can collaborate across functions</li><li>Adaptable and able to handle fast-moving projects</li><li>Passionate about improving healthcare through technology</li></ul>Job Type: Full-timeWork Location: In person

Clinical Analyst/ Business Analyst

NTT DATA

Req ID: 367045
 
NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.
 
We are currently seeking a Business Analysis Specialist Advisor to join our team in Dallas, Texas (US-TX), United States (US).
 
Job Title
 
Solution Business Analyst – Healthcare
 
Day to Day job Duties: (what this person will do on a daily/weekly basis)
 
Role Summary
 
We are seeking an experienced Solution Business Analyst (SBA) with deep Healthcare domain expertise and hands-on experience in AI-driven and Agentic solutions. The ideal candidate will act as a strategic bridge between business stakeholders, clinical users, engineering teams, and data science teams, translating healthcare problems into scalable AI-powered solutions.
 
The role focuses on designing and delivering AI Agent-based healthcare solutions such as intelligent virtual agents, clinical decision support, care coordination assistants, patient engagement bots, automation for claims and revenue cycle management, and operational optimization.
 
Key Responsibilities
 
Business Domain Analysis
 <ul>
<li>Engage with healthcare stakeholders (providers, payers, life sciences, operations, compliance, IT) to understand business needs, workflows, and pain points.</li>
<li>Analyze as-is and to-be healthcare workflows, including clinical, administrative, operational, and financial processes.</li>
<li>Identify opportunities where AI Agentic systems can improve outcomes, reduce costs, or enhance efficiency.</li>
</ul>
AI Solution Design Requirements
 <ul>
<li>Define business, functional, and non-functional requirements for AI-powered and agent-based solutions.</li>
<li>Collaborate with AI/ML, data engineering, and solution architecture teams to design:</li>
<li>Autonomous or semi-autonomous AI agents</li>
<li>Multi-agent workflows</li>
<li>Human-in-the-loop systems</li>
<li>Translate requirements into:</li>
<li>User stories / epics</li>
<li>Process flows</li>
<li>Decision logic</li>
<li>Agent orchestration diagrams</li>
</ul>
Healthcare AI Use Cases
 <ul>
<li>Support AI solutions across healthcare use cases such as:</li>
<li>Patient engagement virtual health assistants</li>
<li>Clinical decision support systems (CDSS)</li>
<li>Care management population health</li>
<li>Claims automation prior authorization</li>
<li>Revenue cycle management</li>
<li>Clinical documentation EHR automation</li>
<li>Ensure solutions align with clinical safety, quality, and usability standards.</li>
</ul>
Data, Compliance Governance
 <ul>
<li>Work with data teams to define data requirements, sources (EHR, HL7/FHIR, claims, IoT, labs), and quality metrics.</li>
<li>Ensure AI solutions comply with healthcare regulations and standards including:</li>
<li>HIPAA</li>
<li>GDPR (where applicable)</li>
<li>HL7 / FHIR</li>
<li>Clinical governance and audit requirements</li>
<li>Assist in defining explainability, auditability, and bias mitigation requirements for AI agents.</li>
</ul>
Stakeholder Delivery Management
 <ul>
<li>Serve as a trusted advisor to clients and internal stakeholders.</li>
<li>Facilitate workshops, requirement sessions, and solution walkthroughs.</li>
<li>Support Agile delivery by participating in:</li>
<li>Sprint planning</li>
<li>Backlog grooming</li>
<li>UAT coordination</li>
<li>Assist with solution documentation, demos, and go-live support.</li>
</ul>
Basic Qualifications: (what are the skills required to this job with minimum years of experience on each)
 
Required Skills Experience
 
Core Experience
 <ul>
<li>6+ years of experience as a Business Analyst / Solution Analyst in the Healthcare domain.</li>
<li>Strong understanding of healthcare ecosystems (providers, payers, life sciences, EHR systems).</li>
<li>Hands-on experience working on AI, ML, NLP, or automation-driven solutions.</li>
</ul>
AI Agentic Knowledge
 <ul>
<li>Understanding of:</li>
<li>AI Agents and Agentic workflows</li>
<li>LLM-based solutions (chatbots, copilots, virtual assistants)</li>
<li>Human-in-the-loop AI systems</li>
<li>Ability to translate business needs into AI agent behaviors, prompts, and workflows.</li>
<li>Familiarity with AI risks, ethics, and governance in healthcare.</li>
</ul>
Technical Analytical Skills
 <ul>
<li>Experience with:</li>
<li>Requirement modeling (BPMN, UML)</li>
<li>User stories and acceptance criteria</li>
<li>API-based and data-driven architectures</li>
<li>Working knowledge of:</li>
<li>EHR systems (Epic, Cerner, etc.)</li>
<li>HL7, FHIR standards</li>
<li>Cloud-based AI platforms (Azure, AWS, GCP – preferred)</li>
</ul>
Soft Skills
 <ul>
<li>Excellent stakeholder management and communication skills.</li>
<li>Ability to explain complex AI concepts to non-technical and clinical users.</li>
<li>Strong problem-solving and critical thinking mindset.</li>
<li>Collaborative and adaptable in fast-paced, innovation-driven environments.</li>
</ul>
Preferred Qualifications
 <ul>
<li>Experience delivering AI products or agent-based platforms in healthcare.</li>
<li>Exposure to GenAI, LLM orchestration frameworks, or autonomous agents.</li>
<li>Bachelor’s degree in Healthcare, IT, Engineering, or related field (Master’s preferred).</li>
<li>Certifications such as:</li>
<li>CBAP / CCBA</li>
<li>Healthcare IT certifications</li>
<li>Agile / Scrum BA certification</li>
</ul>
About NTT DATA
 
NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in RD.
 
Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client’s needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com and @talent.nttdataservices.com email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form, https://us.nttdata.com/en/contact-us.
 
NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here.

Business Analysis Specialist Advisor

Acumen Fiscal Agent

<div>ABOUT THE COMPANY
Acumen is one of the nation's leading fiscal agents offering a portfolio of innovative financial management services backed by superior customer service. Our passion is to help people lead independent lives through exceptional participant-directed programs. Acumen is a great place to work. Our employees make a positive difference in our client's lives by what they do. Among many benefits to working here, we offer medical, dental, and vision coverage, generous paid time off, and incentive bonuses to those who qualify.
OVERVIEW AND ESSENTIAL JOB FUNCTIONS
The Business Analyst on the PMO team will be responsible for analyzing business processes, identifying areas for improvement, and implementing solutions to enhance efficiency and effectiveness within the project management domain. This role requires strong analytical skills, excellent communication abilities, and a deep understanding of business operations within the tech and healthcare industries.
<ul><li>Conduct thorough analysis of business processes and systems within the PMO team to identify areas for improvement</li><li>
Collaborate with stakeholders to gather and document business requirements specific to project management in healthcare</li><li>
Develop and present detailed business cases and project proposals to drive operational excellence</li><li>
Work closely with IT and development teams to ensure successful implementation of solutions</li><li>
Monitor and evaluate the effectiveness of implemented solutions and make necessary adjustments</li><li>
Prepare and deliver reports, presentations, and documentation to stakeholders</li><li>
Provide ongoing support and training to users on new systems and processes</li><li>
Performs other work-related duties as assigned</li><li>
ALL Acumen employees will be vigilant to support the positive compliant cybersecurity company posture by familiarizing themselves with all policies, procedures, standards, and guidelines and act.</li></ul>
MINIMUM QUALIFICATIONSBachelor's degree in Business Administration, Information Technology, Computer Science, or a related fieldProven experience as a Business Analyst or in a similar role within the tech industry, preferably with a focus on project management in healthcareStrong analytical and problem-solving skillsExcellent communication and interpersonal skillsProficiency in business analysis tools and softwareAbility to work independently and as part of a teamKnowledge of industry standards and best practicesPREFERRED QUALIFICATIONSMaster's degree in Business Administration, Information Technology, or a related fieldExperience with project management methodologies. PMP certification preferredFamiliarity with data analysis and visualization tools. Lucidchart experience is a plusUnderstanding of software development lifecycle (SDLC) and agile methodologiesExperience working with cross-functional teams in a tech and healthcare environment Acumen, LLC is an Equal Employment Opportunity (EEO) employer. We embrace diversity in all its form. We provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.</div>

Acumen Business Analyst

CareRite Centers

<div>Cost &amp; Operations Analyst (Healthcare) 
CareRite Centers &ndash; Skilled Nursing Facility Group 
Full-Time | Flexible 
Competitive compensation, commensurate with experience
<h3 class="jobSectionHeader">
Position Overview</h3>

CareRite Centers is seeking a results-driven Cost &amp; Operations Analyst to support cost management and operational efficiency across our skilled nursing facilities. This role is responsible for identifying, analyzing, and helping implement cost-reduction strategies related to both labor expenses (overtime, agency utilization) and non-labor costs (supplies, vendor contracts, utilities).

This is a high-impact, data-driven role with significant interaction at the facility level. The ideal candidate will go beyond data analysis&mdash;working directly with facility leadership to explain trends, implement solutions, and support long-term financial sustainability while maintaining quality of care.
<h3 class="jobSectionHeader">
Cost &amp; Operations Analyst (Healthcare) Key Responsibilities</h3>
<ul>
<li>Cost Analysis: Review labor and non-labor expenses to identify trends, variances, inefficiencies, and cost-containment opportunities
</li>
<li>Data Analysis: Analyze facility-level data to uncover actionable insights that drive measurable savings
</li>
<li>Collaboration: Partner with Administrators and leadership teams to address overspending and implement corrective action plans
</li>
<li>Performance Monitoring: Develop KPIs and tracking tools to measure and sustain cost-saving initiatives
</li>
<li>Communication: Present complex financial data in clear, actionable terms for facility and executive leadership
</li>
</ul><h3 class="jobSectionHeader">Technical &amp; Analytical Skills</h3>
<ul>
<li>Advanced Excel proficiency required, including Pivot Tables, VLOOKUP/XLOOKUP, and conditional formatting
</li>
<li>Ability to create dashboards and visual reports to clearly communicate performance and trends
</li>
<li>Strong attention to detail with a commitment to accurate, audit-ready analysis
</li>
</ul><h3 class="jobSectionHeader">Ideal Candidate Profile</h3>
<ul>
<li>Highly analytical, with a strong interest in identifying inefficiencies and root causes
</li>
<li>Personable and confident, able to build rapport with facility staff while maintaining accountability to budget goals
</li>
<li>Clear communicator, capable of explaining financial concepts to non-financial audiences
</li>
<li>Results-oriented, motivated by driving cost reductions while preserving operational and clinical integrity
</li>
<li>Resourceful and proactive, with the ability to recommend creative, cost-effective solutions
</li>
</ul><h3 class="jobSectionHeader">Why Join CareRite Centers</h3>
<ul>
<li>Opportunity to make a direct, measurable impact across a growing SNF organization
</li>
<li>Collaborative leadership environment
</li>
<li>Flexible structure with room for professional growth
</li>
</ul>Apply Today to join CareRite Centers and help drive operational excellence through data-driven decision-making. 


An Equal Opportunity Employer</div>

Cost & Operations Analyst (Healthcare)

Gainwell Technologies LLC

<div>Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You&rsquo;ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.<div><div><div><h2 class="jobSectionHeader"> 
Summary</h2></div><div>
As an Advisor Business Analyst - Provider at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve &mdash; a community&rsquo;s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare&rsquo;s biggest challenges. Here are the details on this position.</div></div><div><div><h2 class="jobSectionHeader">
Your role in our mission</h2></div><div>
Play a critical part in ensuring Gainwell is meeting our clients&rsquo; objectives in important areas.<ul><li>
Help coordinate a business analyst team&rsquo;s duties and activities on IT projects and nurture newer team members by providing guidance and support</li><li>
Be a knowledgeable bridge between clients, project managers and technical staff to define, document and share business requirements and expected impact</li><li>
Work with the client to develop business specs at the start of a technical project</li><li>
Analyze, plan, design, document or make recommendations to improve business processes to support client&rsquo;s technology goals</li><li>
Help verify that all requirements have been met by approving and validating test results
</li><li>Exercise your ability to use basic analytical or relational database software &mdash; such as Excel or SQL &mdash; to quantify the anticipated impact of work</li></ul></div></div><div><div><h2 class="jobSectionHeader">
What we're looking for</h2></div><div><ul><li>
9 or more years of experience as a Business Analyst in Healthcare Industry with 3 or more years of Medicaid and Medicare experience preferred</li><li>
Knowledge of computer programming concepts such as configuration, development and batch processing</li><li>
Advanced knowledge in analytical software such as Microsoft Excel or SQL and other requirement-mapping tools such as Application Lifecycle Management (ALM) tools</li><li>
Strong client communication skills translating client needs to actionable objectives</li><li>
Strong analytical and business process re-engineering skills</li><li>
Strong executive presence and communication skills to deliver messages to business leaders, clients and technical personnel</li><li>
A leader who motivates others to action and communicates key technical ideas in a digestible way</li><li>
Experience working in Scrum, Agile, SaFe &amp; Waterfall methodologies</li></ul></div></div><div><div><h2 class="jobSectionHeader">
What you should expect in this role</h2></div><div><ul><li>
Opportunities to travel through your work (0-10%)</li><li>
Fully remote options from Contiguous US locations only</li><li>
Video cameras must be used during all interviews, as well as during the initial week of orientation</li><li>
This posting is intended for pipelining. This is a developing position therefore the job description is subject to change.</li></ul>
#LI-HC1
#LI-Scrum/Agile</div></div></div> 
The pay range for this position is [[salaryMin]] - [[salaryMid]] per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You&rsquo;ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. 
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You&rsquo;ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. 
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.</div>

Advisor Business Analyst - Provider

Fractal Analytics

<div>It's fun to work in a company where people truly BELIEVE in what they are doing!
We're committed to bringing passion and customer focus to the business.
Business Analyst, Provider Networks &amp; Care Management
Fractal is a strategic AI partner to Fortune 500 companies with a vision to power every human decision in the enterprise. Fractal is building a world where individual choices, freedom, and diversity are the greatest assets. An ecosystem where human imagination is at the heart of every decision. Where no possibility is written off, only challenged to get better. We believe that a true Fractalite is the one who empowers imagination with intelligence. Fractal has been featured as a Great Place to Work by The Economic Times in partnership with the Great Place to Work&reg; Institute and recognized as a &lsquo;Cool Vendor&rsquo; and a &lsquo;Vendor to Watch&rsquo; by Gartner.
Please visit Fractal | Intelligence for Imagination for more information about Fractal
Note: This position is not eligible for Immigration Sponsorship at this time
Location: Remote
Role Overview:
We are seeking an experienced Business Analyst (BA) with strong expertise in Provider Network management and Care Management programs. This role partners with clinical, network, operations, IT, and analytics teams to analyze business processes, define requirements, and support initiatives that improve clinical outcomes, operational efficiency, cost management, and regulatory compliance.
The ideal candidate has deep knowledge of healthcare payer operations, understands end‑to‑end care management workflows, and can translate business needs into clear functional and technical requirements.
Key Responsibilities<ul><li>
Provider Network Analysis</li><li>
Analyze provider network operations including contracting, credentialing, directory management, network adequacy, and access standards.</li><li>
Support initiatives related to network optimization, provider performance, and value‑based care arrangements.</li><li>
Gather and document requirements for provider data management, directory accuracy, and compliance reporting.</li><li>
Act as a liaison between business users and technical teams for provider network systems.</li></ul>
Care Management &amp; Clinical Programs<ul><li>
Analyze Care Management workflows, including utilization management, case management, disease management, and population health programs.</li><li>
Support process improvements around prior authorization, referrals, transitions of care, and closure of care gaps.</li><li>
Translate clinical and operational needs into clear business and system requirements.</li><li>
Assist in the measurement and reporting of care outcomes, quality metrics, and utilization trends.</li></ul>
Business &amp; Systems Analysis<ul><li>
Conduct stakeholder interviews, workshops, and current‑state/future‑state process analysis.</li><li>
Develop Business Requirement Documents (BRDs), Functional Requirement Documents (FRDs), process flows, and user stories.</li><li>
Support system enhancements, integrations, and data initiatives related to provider and care management platforms.</li><li>
Validate solutions through UAT planning, execution, and defect triage.</li></ul>
Data, Reporting &amp; Compliance<ul><li>
Analyze healthcare data related to cost, utilization, quality, risk stratification, and provider performance.</li><li>
Support reporting for regulatory and accreditation requirements (e.g., CMS, NCQA, state mandates).</li><li>
Ensure alignment with healthcare standards such as ICD‑10, CPT, HCPCS, HEDIS, and FHIR where applicable.</li></ul>
Qualifications<ul><li>
6&ndash;10+ years of experience as a Business Analyst in healthcare.</li><li>
Strong hands‑on experience with Provider Network operations and Care Management programs.</li><li>
Experience working with payer systems or healthcare platforms supporting network and care management functions.</li></ul>
Domain Knowledge<ul><li>
Provider contracting, credentialing, and directory management.</li><li>
Care Management, Utilization Management, Case/Disease Management models.</li><li>
Value‑Based Care, ACOs, and quality improvement initiatives.</li><li>
Understanding of payer workflows and end‑to‑end member/provider lifecycle.</li></ul>
Technical &amp; Functional Skills<ul><li>
Requirements elicitation and documentation (BRD, FRD, user stories).</li><li>
Process modeling tools (Visio, Lucidchart, BPMN).</li><li>
Agile and/or Waterfall delivery methodologies.</li><li>
Data analysis using SQL, Excel, or BI tools (reported or self‑service).</li><li>
Familiarity with healthcare platforms such as care management systems, provider data systems, and claims platforms.</li></ul>
Soft Skills<ul><li>
Strong communication skills with clinical, business, and technical stakeholders.</li><li>
Ability to translate complex clinical and operational concepts into actionable requirements.</li><li>
Analytical mindset with strong problem‑solving capabilities.</li><li>
Proven ability to manage multiple priorities in a fast‑paced environment.</li></ul>
Nice‑to‑Have<ul><li>
Experience supporting HEDIS, Stars, Risk Adjustment, or Quality programs.</li><li>
Exposure to FHIR‑based integrations and healthcare interoperability initiatives.</li><li>
Certification such as CBAP, CCBA, or PMI‑PBA.</li><li>
Experience in payer modernization or digital health transformation initiatives.</li></ul>
Success Metrics<ul><li>
Improved efficiency and accuracy of provider network and care management processes.</li><li>
Successful delivery of system enhancements aligned to business needs.</li><li>
Reduction in rework or defects through clear requirements and UAT support.</li><li>
Positive stakeholder feedback and measurable impact on care quality and operational outcomes.</li></ul>
Pay:
The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Fractal, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current base salary is up to $195,000.
Benefits:
As a full-time employee of the company or as an hourly employee working more than 30 hours per week, you will be eligible to participate in the health, dental, vision, life insurance, and disability plans in accordance with the plan documents, which may be amended from time to time. You will be eligible for benefits on the first day of employment with the Company. In addition, you are eligible to participate in the Company 401(k) Plan after 30 days of employment, in accordance with the applicable plan terms. The Company provides for 11 paid holidays and 12 weeks of Parental Leave. We also follow a &ldquo;free time&rdquo; PTO policy, allowing you the flexibility to take time needed for either sick time or vacation. 
 
Fractal provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex,
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!<h3 class="jobSectionHeader">
Hiring Related Queries</h3>
India: HiringsupportIndia@fractal.ai
Outside India: HiringsupportROW@fractal.ai
Please share resume via job postings
Not the right fit? Let us know you're interested in a future opportunity by clicking Introduce Yourself in the top-right corner of the page or create an account to set up email alerts as new job postings become available that meet your interest!</div>

Business Analyst

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