Senior Business Systems Analyst — Case Management

About This Role

Serve as a Senior Business Systems Analyst focusing on data quality and interoperability of clinical data, specifically supporting case management and utilization review workflows. Drive process improvements and provide technology solutions in the healthcare sector.

Responsibilities

• Document data needs by working with stakeholders and test data for validity
• Map clinical data semantically and syntactically to standards for interoperability
• Act as a quality consultant, performing testing and validation of data element mapping
• Test clinical content for proper data modeling, vocabulary, terminology, and code-set standards
• Collaborate with technical teams to perform root cause analysis and remediate data quality issues
• Work with customers to clarify technology needs and map existing business processes
• Design and implement projects requiring systems integration across multiple platforms
• Conduct ROI and financial analyses to support project prioritization
• Drive improvement activities to achieve departmental and organizational goals
• Identify opportunities for process improvement and recommend solutions

Requirements

• Experience with case management and/or utilization review/utilization management workflows and information systems
• Experience partnering with data teams on discovery/validation work
• 5–7 years of experience in healthcare data analysis and interoperability
• Working knowledge of relational databases and SQL
• Understanding of data in EMRs and experience navigating EMR systems including HL7/CDA/FHIR concepts
• Knowledge of ambulatory and acute clinical workflows and information systems

Qualifications

• Bachelor’s degree or Master’s degree in a related health field, i.e., surgical technology, public health, nursing, epidemiology, informatics, or bioinformatics
• 5-7 years of experience in healthcare data analysis and interoperability

Skills

* Required skills