Senior Healthcare Functional Business Analyst with Oncology at 100% Remote

[Software Developer]

Role: Senior Healthcare Functional Business Analyst with Oncology
Rate $50/hr on c2c 
Visa: Only Independent Visas
Domain: Healthcare Provider
Location: 100% Remote 

Role Summary
We are looking for a Healthcare Functional Consultant with strong experience in patient access and authorization workflows within provider-side healthcare environments.
The role will focus on understanding business processes across Prior Authorization, Eligibility & Benefits Verification, and Financial Clearance, and translating them into structured functional requirements and workflow designs.
The ideal candidate should be comfortable working with cross-functional teams and supporting solution design, implementation, and testing.
Experience in an oncology provider environment is preferred, not mandatory, including familiarity with workflows supporting chemotherapy, procedures, radiology, infusion, treatment readiness, and reimbursement coordination.

Key Responsibilities
Gather and document business and functional requirements across patient access workflows
Define current-state and future-state workflows, including process steps, decision points, and exceptions

Translate business needs into:

• Functional requirements
• User stories
• Process flows
• Acceptance criteria
• Identify process gaps, inefficiencies, and handoff issues
• Work closely with business, operations, product, and technology teams
• Support UAT, defect validation, and requirement traceability
• Maintain structured and clear functional documentation

Required Skills:
Strong understanding of patient access workflows in provider-side healthcare
Hands-on experience in at least 2 of the following areas:

• Prior Authorization
• Eligibility & Benefits Verification
• Financial Clearance

Strong skills in:

• Requirements gathering
• Workflow analysis
• Process mapping
• Ability to translate business needs into clear functional documentation
• Strong communication and stakeholder management skills
• Ability to work with both business users and technical teams

Good to Have (Not Mandatory)

• Revenue Cycle Management (RCM) downstream processes

Understanding of:

• Payer-driven workflows
• US healthcare reimbursement models

 

Experience with:

• Case management or workflow platforms
• Salesforce or similar systems
• Experience working in Agile environments
• Exposure to specialty care or oncology workflows

 

Experience Required

• 7+ years of experience in:
• Healthcare operations
• Functional consulting
• Business analysis
• Experience in provider-side US healthcare environment preferred

Education

• Bachelor’s degree in any discipline
• Degrees in Healthcare Administration, Life Sciences, or related fields are preferred but not mandatory