Healthcare Business Systems Analyst
Rohini RohiniUnited StatesMIDPosted 3h ago
HEDISNCQAAzureAzure DatabricksSQLClaimsEligibilityProviderEncounterSupplemental dataBusiness RequirementsFunctional DocumentsSource-to-Target MappingUATData ReconciliationData Quality ValidationPower BITableauHL7FHIRCMS Interoperability
About the Role
We are looking for an experienced Healthcare Business Systems Analyst with strong healthcare payer domain knowledge and hands-on experience in HEDIS/NCQA, Azure, and Azure Databricks.
Key Responsibilities
• Analyze healthcare payer data and upstream data sources
• Translate business requirements into functional specifications and user stories
• Perform SQL-based data analysis and validation using Azure Databricks
• Support HEDIS/NCQA regulatory reporting and data integration initiatives
• Coordinate with business, QA, development, and data engineering teams
• Support UAT, defect resolution, and data reconciliation
Requirements
• 7–10+ years of Healthcare IT experience
• Strong experience with Healthcare Payer / MCO organizations
• 3+ years of data management and Data Lake experience
• 3+ years of hands-on HEDIS / NCQA or healthcare quality measurement experience
• Strong expertise in Azure and Azure Databricks
• Advanced SQL skills for data analysis and validation
• Experience with Claims, Eligibility, Provider, Encounter, and Supplemental data
• Strong experience in Business Requirements, Functional Documents, and Source-to-Target Mapping
• Experience supporting UAT, Data Reconciliation, and Data Quality Validation
• Knowledge of Power BI / Tableau, HL7 / FHIR, and CMS Interoperability