Job Description
We are seeking a Senior Business Analyst / Data Analyst with deep expertise in healthcare quality measures, data analysis, and business requirements development. This individual will play a critical role in designing and enhancing HEDIS and Medicare quality measure capabilities while supporting next-generation AI-powered healthcare analytics initiatives.
This role is approximately 50% Business Analysis and 50% Data Analysis and requires someone who can independently investigate data, derive business requirements, drive stakeholder discussions, and translate business needs into features and stories for development teams.
The successful candidate will possess both strong technical analytical skills and the ability to communicate effectively with business stakeholders, product leaders, and technology teams. They will be working 8am-5pm CST business hours.
Key Responsibilities
Data Analysis
- Perform deep data profiling and exploratory analysis across healthcare datasets.
- Analyze inbound files and source data to understand structure, relationships, and business meaning.
- Evaluate every element of a dataset, including:
Column-level analysis
Distinct value analysis
Data quality validation
Business rule identification
- Develop business rules and transformation logic from data findings.
- Define data mappings, source-to-target relationships, and transformation requirements.
- Validate data accuracy and support testing efforts.
Business Analysis
- Gather and document business requirements.
- Translate requirements into Features and User Stories within Aha.
- Define business outcomes and expected functionality.
- Partner with development teams to clarify requirements and acceptance criteria.
- Participate in Agile ceremonies and backlog refinement.
- Prioritize features and support SDLC delivery efforts.
Stakeholder Engagement
- Partner directly with business leaders and healthcare quality stakeholders.
- Present findings to both technical and non-technical audiences.
- Explain business value and operational impact of proposed solutions.
- Support discussions involving quality measures and AI-enabled capabilities.
Clinical & Quality Measure Support
- Interpret healthcare and clinical data.
- Review EMR/EHR records and clinical charts.
- Identify evidence supporting quality measure compliance and care gap closure.
- Support implementation and enhancement of Medicare and HEDIS quality measures.
Current & Future Quality Measure Focus
Existing Measures
- Colorectal Cancer Screening
- Breast Cancer Screening
- Controlling High Blood Pressure
- Diabetic Eye Exam
- Hemoglobin A1C Control
New Measures Being Developed
- Care for Older Adults (COA)
- Transitions of Care (TCR/TRC)
- Blood Pressure Evaluation (BPE)
- Depression Screening
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Required Skills & Experience
- 5+ years Business Analysis experience
- 5+ years Data Analysis experience
- 5+ years healthcare data warehousing experience
- Strong SQL experience
- HEDIS Quality Measures experience
- Medicare Quality Measures experience
- CMS and NCQA measure expertise
- EMR/EHR experience
- Agile and SDLC experience
- Data mapping and transformation rule development
- Ability to profile complex datasets independently
- Experience writing business-focused requirements and user stories
Strong stakeholder communication and presentation skills
Nice to Have Skills & Experience
- UnitedHealthcare or Optum experience
- Clinical background
- Experience helping develop HEDIS quality measurement models
- Experience supporting AI-powered healthcare analytics solutions
- Healthcare software or data development experience
- Medicare quality measure implementation experience
Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.