Senior Business Data Analyst – Healthcare IT

Company Description

SpectraMedix is at the forefront of transforming healthcare, empowering health plans and health systems with the tools and insights they need to provide better, more cost-effective care to the communities they serve. Our cutting-edge platform delivers advanced analytics that help organizations excel in the transition to new value-based payment (VBP) models.

By combining advanced technology with a team of seasoned experts, we provide a unique solution tailored to meet the needs of the healthcare industry during this critical phase of value-based care evolution. Our platform is strategically designed to guide health plans, accountable care organizations, and health systems in their journey toward achieving success in value-based payment initiatives.

We are committed to creating an environment where innovation thrives, employees are empowered to drive meaningful change, and every team member plays a key role in reshaping the value and quality equation in healthcare. Our organization’s long-term stability is grounded in this commitment, and we prioritize our employees' growth, well-being, and success as the foundation for a thriving future—both for them and for the communities we serve.

Position: Senior Business Data Analyst – Healthcare IT

Location: East Windsor, NJ

Job Description

The Senior Business Data Analyst will work closely with business stakeholders, data teams, and technical SMEs to analyze, model, document, and manage healthcare data and business systems requirements. The role involves acting as a liaison between business and technical teams, translating complex business information needs into actionable insights and application software solutions.

Roles & Responsibilities:

• Minimum of 8 years of experience as a Business Data Analyst, primarily in US Healthcare IT projects.
• Strong understanding of healthcare data sources such as Claims (837I, 837P), EDI, ICD-9/10, CPT, CCDA, QRDA, HL7, FHIR, EMR, SNOMED, LOINC, and HEDIS.
• In-depth knowledge of payer data sources (Member/Enrollment, Claims, Revenue, etc.) and clinical & population health data.
• Strong understanding of HEDIS, NCQA, eCQM, PQI, PDI, Meaningful Use, HIPAA policies, CMS (Medicare/Medicaid systems), and quality measures.
• Conduct data analysis on various disparate healthcare datasets using SQL, extracting data and helping with reporting.
• Work with business stakeholders to gather and define business and functional requirements, technical specifications, and data mappings.
• Create detailed documentation of features, functions, and data workflows to support application development and implementation.
• Define and document processes, workflows, and feed specifications to enhance product development activities.
• Conduct internal and client UAT sessions before release to ensure data integrity and quality.
• Collaborate in the planning and design of new applications and enhancements to existing ones.
• Develop and execute test cases and test scripts to ensure data accuracy and system functionality.

Required Skills:

• Business and Data Analysis experience in the US Healthcare domain.
• Strong knowledge of SQL for data analysis, data ingestion, validation, and reporting.
• Experience with ETL, interface technologies, and data integration.
• Strong expertise in healthcare data standards (Claims, HL7, FHIR, ICD, HEDIS, SNOMED, LOINC, etc.).
• Ability to understand and create data mapping documents, technical documentation, and specification documents.
• Experience working with requirement gathering for healthcare applications.
• Ability to work independently in a fast-paced environment while managing multiple assignments.
• Strong research, problem-solving, and analytical skills with attention to detail.
• Excellent written and verbal communication skills, with the ability to convey technical ideas to non-technical stakeholders.

Qualifications

• Bachelor's or Master’s degree in Health and Hospital Management, Healthcare Administration, Biotechnology, Pharmacy, or a related healthcare field.
• Experience with healthcare data quality, governance, and compliance standards.
• Understanding of data interoperability and exchange standards in healthcare IT systems.

Soft Skills:

• Strong interpersonal and communication skills to effectively interact with business and technical teams.
• Ability to work both independently and as part of a cross-functional team.
• Strong problem-solving skills with a proactive approach to improving data quality and business processes.

Good to have:

Certification from PAHM (Professional, Academy for Healthcare Management) or AHM (Accredited Healthcare Management) will be a plus

Additional Information

Candidates for this role must have expertise in Healthcare IT, specifically in areas such as Value-Based Payment Programs, Claims, Attribution and Quality Measures within population health demographics. Please apply only if you meet these criteria.