Sr Business Analyst - Healthcare Interoperability

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Sr Business Analyst - Healthcare Interoperability in the United States. This role sits at the intersection of healthcare data, interoperability standards, and business intelligence, enabling seamless data exchange across complex payer, provider, and third-party ecosystems. You will translate business needs into precise technical and data requirements that support scalable, compliant integration solutions. Working remotely in a highly collaborative environment, you will engage with stakeholders across clinical, financial, and technical domains. The role involves deep analysis of large, multi-source healthcare datasets to uncover insights, ensure data integrity, and support decision-making. You will play a key part in shaping interoperability workflows aligned with regulatory standards such as HIPAA, CMS, and ONC. This is a high-impact position where analytical rigor directly supports better-connected healthcare systems and improved data-driven outcomes. Accountabilities

• Analyze healthcare business and data needs related to interoperability workflows, ensuring accurate and efficient data exchange across systems and stakeholders.
• Work with large and complex healthcare datasets (claims, member, provider, clinical, enrollment, financial) to assess structure, relationships, consistency, and quality.
• Define, document, and validate functional and technical requirements for healthcare data interfaces using standards such as HL7, FHIR, X12, and C-CDA.
• Lead discovery and integration workshops with payers, providers, and internal teams to define mappings, specifications, and system requirements.
• Identify and resolve data integrity issues, including missing values, duplication, and inconsistent or “bad” data patterns.
• Support ETL design, data transformation, and validation processes, ensuring outputs align with business rules and technical specifications.
• Collaborate with product, engineering, and architecture teams to design and optimize interoperable data exchange solutions.
• Perform SQL-based data profiling, validation, and root cause analysis to support system accuracy and performance improvements.
• Support UAT planning and execution while mentoring junior analysts and contributing to documentation quality and peer reviews.
• Ensure compliance with healthcare regulations and interoperability standards, including HIPAA, CMS, ONC, and related guidelines.

Requirements

• Bachelor’s degree in Health Informatics, Computer Science, Data Science, Public Health, Information Systems, or related field.
• 5+ years of experience as a Business/Data Analyst in healthcare, with strong focus on interoperability, data integration, or healthcare data engineering.
• Deep knowledge of healthcare data standards and formats, including HL7 v2, FHIR (R4), X12 EDI, NCPDP, C-CDA, JSON, XML, and flat files.
• Strong understanding of healthcare data domains such as claims, member, provider, enrollment, and clinical data.
• Proficiency in SQL for data validation, profiling, and analysis of large-scale datasets.
• Experience working with ETL pipelines and healthcare integration tools (e.g., Mirth Connect, InterSystems, Talend, AWS Glue) is a plus.
• Familiarity with API-based integrations and FHIR RESTful APIs, including SMART on FHIR concepts.
• Strong analytical thinking, problem-solving, and statistical reasoning capabilities.
• Excellent communication skills, with the ability to translate complex data concepts into clear business insights.
• Ability to manage multiple priorities, work independently, and collaborate effectively in distributed teams.

Benefits

• Competitive salary ranging from $95,000 to $135,000 annually, based on experience and qualifications
• Comprehensive medical, dental, vision, disability, and life insurance coverage
• 401(k) retirement savings plan
• Paid time off ranging from 17 to 27 days, depending on level and tenure
• 9 paid holidays per year
• Paid family leave programs
• Flexible remote work environment with distributed team collaboration
• Access to a structured benefits package supporting personal and family wellbeing

How Jobgether Works We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Throu