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Healthcare Solutions Analyst
Healthcare Solutions AnalystAdvantmed India LLP • Republic Of India, IN
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Healthcare Solutions Analyst

Healthcare Solutions Analyst

Advantmed India LLP • Republic Of India, IN
13 days ago
Job description

Job Title : Technical Business Analyst

Department : Product Management

Reports To : Product Manager / Product Owner

Location : Remote [Base : Ahmedabad]

About the Role

We are looking for a Technical Business Analyst (BA) with a strong understanding of healthcare workflows and systems — especially in the context of Digital & Manual Retrieval or HEDIS . This role bridges the gap between Product, Engineering, Clinical SMEs, and Operations by translating complex business requirements into clear, actionable specifications. You will play a key role in shaping system behavior, ensuring delivery quality, and aligning solutions to end-user workflows.

Required Qualifications :

  • 4–8 years of experience as a BA, in US healthcare IT , clinical data, or payer-side products
  • Strong understanding of Chart Retrieval processes, or HEDIS abstraction workflows
  • Proficient in tools like Azure DevOps / Jira, Lucidchart / Visio, SQL (basic queries), Confluence
  • Comfortable working in Agile / Scrum environment (certification must)
  • Exceptional communication, documentation, and stakeholder alignment skills

Key Responsibilities :

Requirements & Analysis

  • Gather, validate, and document business and technical requirements from cross-functional teams
  • Collaborate with Product Owners to break down Epics / Features into detailed User Stories
  • Write comprehensive BRDs / FRDs, workflows, and use cases
  • Own and maintain mapping documents, data dictionaries, and interface specs
  • Technical Understanding

  • Understand backend processes like data ingestion, OCR, NLP / NLU transformation, and routing logic
  • Lead impact assessments when changes are made to upstream or downstream systems
  • Testing & Validation

  • Define acceptance criteria, edge cases, and negative test scenarios
  • Assist QA teams in test planning and validating feature behavior
  • Participate in UAT with end users and triage feedback in collaboration with Product Owners
  • Stakeholder Collaboration

  • Facilitate grooming and technical walkthroughs with Engineering, QA, and DevOps
  • Act as a bridge between business & tech teams, ensuring alignment throughout delivery
  • Support implementation planning, documentation handoff, and post-release support
  • Success Metrics :

  • Accuracy & clarity of requirements (rework / clarification rate <
  • 10%)

  • % of test cases directly mapped to acceptance criteria
  • Story delivery velocity (based on estimation accuracy and backlog readiness)
  • Stakeholder satisfaction (Ops, Product, QA, Eng)
  • Requirement coverage of edge cases, exceptions, and regulatory compliance
  • Bonus Skills :

  • Experience in NLP / NLU model workflows and AI output validation
  • Familiarity with healthcare compliance standards (e.G., HIPAA)
  • Exposure to chart review, CCD / CCDA parsing, or provider-facing workflows
  • Certification : CBAP / PMI-PBA / SAFE BA / Agile BA / HL7 FHIR Foundation
  • Ability to read / analyze clinical data , ICD-10, HL7 / FHIR, or related data standards
  • Ideal Mindset :

  • You’re analytically rigorous , yet practical with MVP-first thinking
  • You translate ambiguity into clarity, assumptions into logic
  • You see yourself as a co-owner of the delivery , not just a requirement gatherer
  • You’re passionate about improving healthcare through structured, scalable solutions
  • About Advantmed :

    We are a technology-driven healthcare solutions provider, focused on streamlining clinical and administrative workflows for both payers and providers. Our core offerings include :

  • Traditional & Digital Medical Record Retrieval
  • Risk Adjustment Coding (CMS-HCC, ACA)
  • HEDIS Abstraction
  • Suspect Analytics & Gap Closure
  • Provider-Side Concurrent Coding (Billing & Documentation)
  • Health Assessments (In-home, Virtual)
  • Our solutions leverage deep domain expertise and AI / NLP technology to drive improved coding accuracy, regulatory compliance, and financial performance.

    How to Apply?

    If you would like to pursue this position, please mail your updated resume at sagar.raisinghani@advantmed.com , along with the following details

  • Total Experience : -
  • Relevant Experience : -
  • Current Designation : -
  • Current CTC : -
  • Expected CTC : -
  • Notice Period : -
  • Current Location : -
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    Solution Analyst • Republic Of India, IN

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