Business Analyst – Healthcare

Overview

Join to apply for the Business Analyst – Healthcare role at Lumenalta
.

This range is provided by Lumenalta. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$90,000.00/yr - $/yr

• As a Business Analyst – Healthcare, you will play a critical role in shaping digital transformation across the U.S. healthcare landscape. You’ll work closely with clients, delivery managers, and technical teams to translate complex healthcare regulations, payer and provider workflows, and Medicaid/Medicare program requirements into actionable business and functional specifications.
• Your expertise will ensure that every solution we deliver aligns with compliance standards, improves operational efficiency, and drives better health outcomes for patients and members alike.
• Responsibilities include requirements gathering and analysis, process mapping and optimization, documentation, regulatory compliance, stakeholder collaboration, data and systems analysis, testing support, change management, and continuous improvement.

• You have a deep understanding of the U.S. healthcare system, particularly Medicaid and Medicare programs, payer operations, and provider networks.
• You excel at bridging the gap between business and technology, translating healthcare policy, data, and process requirements into clear documentation and delivery plans.
• You thrive in environments that require precision, empathy, and regulatory awareness—where the work you do directly impacts the accessibility, affordability, and quality of care.
• You are detail-oriented, analytical, and proactive—able to identify opportunities for optimization while ensuring compliance with CMS, HIPAA, and state-specific healthcare regulations.
• You collaborate seamlessly across technical, business, and clinical stakeholders, ensuring every voice is heard and every requirement is well-defined.

• 5–10 years of experience as a Business Analyst or Product Analyst in healthcare technology, consulting, or payer/provider organizations.
• Strong understanding of Medicaid and Medicare program operations, payer workflows, and healthcare data systems.
• Experience working with EHR/EMR, claims processing, eligibility & enrollment systems, and data integration projects.
• Proven ability to manage requirements across complex, multi-stakeholder projects within regulated environments.
• Familiarity with CMS frameworks, HIPAA, and healthcare interoperability standards (e.g., HL7, FHIR).
• Strong analytical, problem-solving, and communication skills with the ability to translate technical details into business language.
• Experience with Agile or hybrid delivery methodologies and tools such as JIRA, Confluence, or Azure Dev Ops.
• Bachelor’s degree in Business, Healthcare Administration, Information Systems, or a related field.
• Experience interpreting healthcare data structures, including claims, eligibility, and encounter data.
• Familiarity with SQL, BI tools, or data visualization platforms (e.g., Power BI, Tableau) is an asset.
• Ability to work effectively with delivery teams on data mapping, validation, and transformation logic.

• Candidates must be located within the United States (W2).

• Fully remote position; candidates must be based in regions that align with the Pacific, Central, or Eastern U.S. time zones.
• Flexible working hours in a remote environment.
• Health insurance (medical and dental) for W2 Employees.
• 401K contribution.
• A professional development fund to enhance your skills and knowledge.
• 15 days of paid time off annually.
• Access to soft-skill development courses to further your career.

This is a full-time position requiring a minimum of 40 hours per week, Monday through Friday
.

At Lumenalta
, we are committed to creating an environment that prioritizes growth, work-life balance, and the diverse needs of our team members.

• Mid-Senior level

• Full-time

• Engineering, Information Technology, and Consulting

• IT Services and IT Consulting