Business Analyst

Role Summary Lead and support business analysis for Electronic Prior Authorization (ePA) initiatives to meet CMS-0057 requirements for streamlined prior authorization workflows and healthcare interoperability. Translate regulatory and business requirements into clear functional requirements, user stories, acceptance criteria, and actionable delivery plans. Collaborate with U.S. stakeholders, clinical/utilization management teams, and distributed development teams to ensure successful project delivery. Key Responsibilities Gather, analyze, and document business and functional requirements for ePA workflows and FHIR-based API implementations. Translate business requirements into user stories, acceptance criteria, process flows, and detailed business documentation. Facilitate sprint planning, backlog refinement, and stakeholder communication in an Agile environment. Track project progress, identify risks (including utilization management vendor dependencies), and recommend corrective actions. Support testing, quality assurance, process improvements, and operational alignment across cross-functional teams. Work closely with engineering, product, and business teams to ensure successful implementation of regulatory requirements. Required Skills & Experience Strong experience as a Business Analyst in regulated healthcare software delivery environments, with a focus on Electronic Prior Authorization (ePA) and healthcare interoperability. Solid understanding of CMS-0057 , ePA workflows, and healthcare interoperability standards. Hands-on experience with FHIR APIs , healthcare data exchange, and interoperability initiatives. Strong knowledge of Agile methodologies and the Software Development Life Cycle (SDLC). Experience using requirement management and project tracking tools such as Jira and Azure DevOps (ADO) . Ability to create clear business documentation, workflow diagrams, process maps, and functional specifications. Excellent analytical, problem-solving, communication, and stakeholder management skills. Strong organizational skills with exceptional attention to detail. Preferred Skills SQL Python Experience with healthcare payer systems and utilization management workflows. Familiarity with healthcare regulations, including HIPAA and CMS interoperability mandates.