Lead II - Business Analysis

Job Description – Lead II Business Analyst / Systems Analyst (Healthcare) Job Title Lead II – Business Analyst / Systems Analyst (Healthcare Domain) Job Summary We are seeking an experienced Lead II Business Analyst / Systems Analyst with strong expertise in the Healthcare domain to bridge business needs and technology solutions. The ideal candidate will work closely with business stakeholders, product owners, developers, QA teams, and external partners to gather, analyze, document, and manage business and system requirements for healthcare applications and digital transformation initiatives. The candidate should possess in-depth knowledge of healthcare processes, regulatory requirements, data integration, and SDLC methodologies while driving requirements management from conception through implementation. Key Responsibilities

Collaborate with business stakeholders, SMEs, product owners, and technical teams to understand healthcare business needs and translate them into functional and technical requirements.

Conduct requirements gathering sessions, workshops, interviews, and stakeholder meetings.

Create and maintain:

Business Requirement Documents (BRD)

Functional Requirement Documents (FRD)

User Stories

Use Cases

Process Flows

System Specifications

Analyze current-state business processes and recommend improvements and optimization opportunities.

Define acceptance criteria and support test planning, UAT activities, and production validation.

Facilitate communication between business teams and development teams throughout the project lifecycle.

Work with Solution Architects and Technical Leads to design scalable and compliant healthcare solutions.

Support data mapping, data migration, interface analysis, and integration requirements.

Ensure compliance with healthcare regulations and organizational standards.

Participate in Agile ceremonies, including:

Sprint Planning

Backlog Grooming

Sprint Reviews

Retrospectives

Identify risks, dependencies, and gaps in requirements and proactively recommend solutions.

Mentor junior analysts and contribute to business analysis best practices.

Required Qualifications

Bachelor's degree in Computer Science, Information Systems, Healthcare Management, or a related field.

8–12+ years of overall IT experience with 5+ years of Business Analysis/System Analysis experience.

Strong experience in Healthcare/Payer domain projects.

Hands-on experience gathering and documenting business and system requirements.

Expertise in Agile, Scrum, Waterfall, or Hybrid delivery methodologies.

Strong analytical, problem-solving, and stakeholder management skills.

Experience working with cross-functional and geographically distributed teams.

Excellent verbal and written communication skills.

Required Healthcare Domain Experience Candidates should have experience in one or more of the following areas:

Healthcare Payer Operations

Claims Processing

Member Enrollment & Eligibility

Provider Management

Care Management

Prior Authorization

Utilization Management

Benefits Administration

• Healthcare Data Exchange & Integrations

• Healthcare Compliance & Regulatory Requirements

• Technical Skills

Requirements Management Tools

• JIRA

• Azure DevOps

• Rally

• Process Modeling Tools:

• Microsoft Visio

• Lucidchart

• Draw.io

• SQL for data analysis and validation

• API & Integration Analysis (REST/SOAP)

• Data Mapping & Data Flow Analysis

• Agile/Scrum Methodologies

• Microsoft Office Suite

Preferred Qualifications

• Knowledge of healthcare data standards:

• HL7

• FHIR

• EDI X12 Transactions (837, 834, 835, 270/271)

• Experience with Healthcare Digital Transformation initiatives.

• Professional certifications such as:

• CBAP

• CCBA

• PMI-PBA

• SAFe Business Analyst

• Agile Certifications

• Exposure to cloud-based healthcare platforms and analytics solutions.

• Business analysis,healthcare domain,healthcare management,healthcare compliance,healthcare regulations,care management