Business Analyst – Prior Authorization, Interoperability

🌍 Remote, USA 🎯 Full-time 🕐 Posted Recently

Job Description

support the Advancing Interoperability and Improving Prior Authorization Processes project
contribute to operational readiness activities, requirements documentation, and testing efforts
document current operational workflows and assist in identifying process gaps or improvement areas
support development of future‑state process flows and operational readiness materials
assist with preparing staffing inputs, workload assumptions, and operational support documentation
maintain traceability of requirements throughout the project lifecycle
assist in developing test cases and acceptance criteria with an operational focus
participate in system, user acceptance, and operational readiness testing activities
support project planning activities related to analysis and readiness
assist in virtual and occasional in person training for impacted operational staff

Bachelor’s degree or equivalent combination of education and experience
Two to four years of business analysis, process documentation, or operations support experience
Experience with workflow analysis, requirements gathering, or business process mapping
Experience collaborating with cross‑functional teams in a remote or hybrid environment
Exposure to healthcare operations, prior authorization workflows, or regulatory implementations is preferred.
Strong written and verbal communication skills
Ability to document processes clearly and accurately
Solid analytical and problem‑solving capabilities
Ability to manage multiple tasks and meet deadlines
Proficiency with Microsoft Office and basic business or process modeling tools
Effective in a remote work environment with strong virtual collaboration skills
Willingness to travel up to 10% for essential project activities