Business Analyst - Interoperability (FHIR + EDI)
Role: Business Analyst - Interoperability (FHIR + EDI)
Location: Remote
Duration: Long Term Contract
Mandatory skills
FHIR APIs, HL7, EDI X12 and Healthcare Domain
Responsibilities:
- Gather, analyze, and document business requirements related to healthcare data exchange and interoperability.
- Lead and support integration projects involving FHIR APIs, HL7, and EDI X12 transactions (e.g., 837, 835, 270/271).
- Collaborate with cross-functional teams including developers, architects, QA, and client stakeholders.
- Translate business needs into detailed functional and technical specifications.
- Validate and test interoperability workflows and data mappings.
- Ensure compliance with healthcare regulations such as HIPAA, CMS, and ONC guidelines.
- Conduct gap analysis and recommend improvements to existing interoperability frameworks.
- Support UAT and production rollout of interoperability solutions.
Key Skills:
- FHIR (Fast Healthcare Interoperability Resources): Deep understanding of FHIR resources, profiles, and RESTful APIs.
- EDI (Electronic Data Interchange): Experience with healthcare EDI formats including 837 (claims), 835 (remittance), 270/271 (eligibility).
- HL7 v2/v3: Familiarity with legacy HL7 messaging standards.
- Healthcare Domain Expertise: Knowledge of payer-provider workflows, claims processing, eligibility, and benefits.
- Business Analysis: Strong skills in requirement gathering, process modeling, and stakeholder communication.
- Tools & Platforms: Experience with tools like Postman, Swagger, Mirth Connect, and integration engines.
- Data Mapping & Validation: Ability to interpret and validate data formats, schemas, and transformation logic.
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