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Cotiviti · 1 month ago

Business Analyst-Professional Services

United States

Full-time

Remote

Mid, Senior Level

$76K/yr - $94K/yr

3+ years exp

Cotiviti is a leader in supporting customers through their Professional Services Team. They are seeking a Business Analyst with expertise in healthcare interoperability to analyze complex data sets and ensure compliance with healthcare standards, while collaborating with stakeholders to enhance data exchange processes.

Responsibilities

Analyze business needs related to healthcare data exchange and interoperability workflows

Interpret and document healthcare data (HL7, FHIR, CDA, CCD, X12, etc.) specifications for development and integration teams

Interpret and document data integrity issues, bad data patterns, missing values, and duplication

Map and transform healthcare data into standardized formats (HL7 v2, HL7 FHIR, X12 EDI, CCD/C-CDA, proprietary formats)

Collaborate with internal and external stakeholders to gather data requirements and define technical specifications

Work with teams to design streamlined, automated processes for exchanging data between payer, provider, and third-party systems

Ensure solutions comply with HIPAA, CMS interoperability rules, ONC guidelines, and other regulatory requirements

Partner with product managers, architects, and developers to ensure interoperability solutions meet business needs

Develop and execute test cases for data transformations and integrations

Validate that data outputs align with both business rules and technical specifications

Validate data accuracy and integrity across systems using SQL and data profiling tools

Assist in root cause analysis and resolution of integration or data quality issues

Support UAT (User Acceptance Testing) for interoperability solutions and work with QA teams on test planning and validation

Assist development team with performance analysis and testing during release cycles for service packs, hot fixes etc

Deliver a consistent, responsive and satisfying customer experience with each project

Qualification

Healthcare interoperabilitySQLData analysisETL pipelinesHL7 FHIRAPI-based data exchangeData profiling toolsCloud platformsProblem-solvingClear communicationDetail-orientedCollaborative team player

Required

Bachelor's degree in health informatics, Computer Science, Data Science, Public Health, Information Systems, or a related field

3–6 years of experience as a Business/Data Analyst in healthcare, with a focus on interoperability or health data engineering

Deep understanding of healthcare interoperability standards (HL7 v2, HL7 FHIR, X12 EDI, NCPDP, C-CDA)

Deep understanding of FHIR R4 structure, resource types, profiles, and terminology (LOINC, SNOMED, ICD)

Experience working with data ingestion and ETL pipelines in healthcare environments

Proficiency in writing SQL queries for data validation and profiling

Familiarity with data formats: JSON, XML, HL7v2 messages, X12, flat files (CSV, pipe-delimited, etc.)

Demonstrated experience analyzing large datasets (millions of rows) and complex multi-file healthcare data structures

Expertise with healthcare data domains: member, claims, provider, enrollment, and clinical data

Strong analytical and problem-solving skills

Clear communication, with ability to document and explain complex technical concepts to stakeholders

Detail-oriented and highly organized, with a strong focus on data quality and compliance

Collaborative team player who can work across services, product, engineering, and business teams

Experience working with payer-provider interoperability use cases (e.g., Patient Access API, Provider Directory API)

Preferred

Experience using integration engines or tools (e.g., Mirth Connect, InterSystems, AWS Glue, Talend) is a plus

Familiarity with TEFCA, QHIN, HIE, CARIN, USCDI, and other national health data initiatives

Background in clinical workflows, health IT systems (e.g., Epic, Cerner), claims data or UM systems (guiding care, MCG, InterQual)

Exposure to cloud platforms (e.g., AWS, Azure) and healthcare data storage frameworks

Experience with cloud-based data platforms (AWS, Azure, GCP) and data integration tools (MuleSoft, Boomi, Informatica, Talend)

Familiarity with big data frameworks (Spark, Databricks) or advanced ETL/ELT processes

Benefits

Medical, dental, vision, disability, and life insurance coverage

401(k) savings plans

Paid family leave

9 paid holidays per year

17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti

Company

Cotiviti

Glassdoor3.7

Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics that improve the quality and sustainability of healthcare in the United States.

Founded in 1979

South Jordan, UT, US

5001-10000 employees

http://www.cotiviti.com

H1B Sponsorship

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