looking for a Clinical BSA - Newtown Square, PA 13 to 15 years resume

[IT Recruiter Chintu]

Position: Clinical BSA

Location: Newtown Square, PA (3 days onsite in a week)

 

JD:

•             Lead requirements end to end, independently driving discovery, analysis, and solution definition across business and IT stakeholders.

•             Serve as a subject matter expert on HL7 exchange protocols, including FHIR, CCDs, ADTs, etc.

•             Perform hands on data analysis using SQL, Databricks, and related tools to validate data, troubleshoot issues, and support design decisions.

•             Prior Experience on `HEDIS and Quality process and HEDIS Data is a plus

•             Document business and technical requirements, source to target mappings, data specifications, business rules, and process flows.

•             Support validation and QA by reviewing data outputs, test cases, and results to ensure accuracy and compliance.

•             Collaborate with internal teams and external partners with minimal supervision to gather requirements, drive key decisions, and support successful implementations.

•             Mentor and guide junior BAs on best practices in requirements, documentation, analysis, and stakeholder engagement.

•             Communicate business and process solutions, recommendations, and issues to client management on a regular basis.

•             Document all business process flows related to interoperability initiatives.

•             Apply working knowledge of internal customer Managed Care functions (HealthCare Services, Claims, Enrollment, Quality/HEDIS, Risk Adjustment, Care Management, Utilization Management) to support problem solving and solution design.