Senior Business Analyst – Healthcare Interoperability

Cotiviti

Business Analyst in healthcare interoperability analyzing data from multiple systems for insights and solutions. Collaborating with stakeholders to ensure data integrity and compliance with standards.

Posted 5/2/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $95,000 - $135,000 per yearWebsite

Tech Stack

Tools & technologies

AWSETLSQL

About the role

Key responsibilities & impact

Analyze business needs related to healthcare data exchange and interoperability workflows
Analyze large volumes of raw healthcare data from multiple source systems including flat files, databases and formats (claims, member, provider, clinical, enrollment, financial) to assess structure, relationships, and consistency
Analyze relationships between data types (e.g., linking members to claims, providers to encounters) to ensure data accuracy and completeness
Led discovery and integration workshops with stakeholders across providers and payers to define interface specifications and data mappings
Developed functional and technical requirements for inbound and outbound interfaces i.e. 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
Collaborate with stakeholders to understand business goals, integration needs, and compliance requirements
Work with integration 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 need
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
Monitor industry standards and regulations related to health data exchange and contribute to strategy and compliance initiatives
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
Mentored junior BA’s and conducted peer review of BRD’s, user stories and test plans

Requirements

What you’ll need

Bachelor's degree in health informatics, Computer Science, Data Science, Public Health, Information Systems, or a related field
5+ 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.)
Experience using integration engines or tools (e.g., Mirth Connect, InterSystems, AWS Glue, Talend) is a plus
Knowledge of API-based data exchange (FHIR RESTful APIs) and SMART on FHIR concepts
Experience with HIE systems and clinical data repositories
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.

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

SQLHL7FHIRCDACCDX12data ingestionETLdata profilingdata transformation

Soft Skills

collaborationcommunicationmentoringproblem-solvingcustomer experiencestakeholder engagementanalytical thinkingleadershipattention to detailproject management