Business Analyst/Project Manager-Healthcare Process

Job Description

Hello,

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We are hiring for "Business Analyst/Project Manager-Healthcare Process" for Hyderabad location.

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Exp: 7+Years

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Work Location: Hyderabad

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Work Mode: 5 Days work from office

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Notice Period: Immediate joiners(notice period served or serving candidate)

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NOTE: We are looking for Immediate joiners(notice period served or serving candidate)

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Apply only If you are Immediate joiners(notice period served or serving candidate

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Apply only if you are having 7+Years of relevant experience as per the JD.

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Job description:

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We are seeking an experienced Healthcare Business Analyst / Project Manager with 7+ years of experience in Healthcare IT, specializing in healthcare interoperability, EHR/EMR integrations, and healthcare data exchange standards. The ideal candidate will have strong expertise in gathering business requirements, managing healthcare integration projects, coordinating cross-functional teams, and ensuring compliance with healthcare interoperability standards.

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Key Responsibilities:

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• Lead end-to-end Healthcare IT projects by gathering business requirements, preparing BRDs/FRDs, user stories, process flows, and managing project delivery using Agile or Waterfall methodologies.
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• Analyze, document, and support healthcare interoperability solutions involving HL7 v2 messaging, FHIR R4 APIs and resources, SMART on FHIR, CDS Hooks, and REST APIs (JSON/XML) for seamless data exchange.
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• Coordinate and manage EHR/EMR integrations with platforms such as Epic, Cerner, athenahealth, Meditech, and other clinical systems, ensuring accurate clinical and administrative data flow.
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• Work closely with providers, payers, pharmacies, architects, developers, QA teams, and third-party vendors to design and implement healthcare integration workflows and interface specifications.
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• Gather, analyze, and validate requirements for X12 EDI transactions (270/271, 276/277, 278, 834, 835, 837) and NCPDP SCRIPT standards to support eligibility, claims, prior authorization, enrollment, payments, and e-prescribing workflows.
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• Define API specifications, interface mappings, business rules, data transformation requirements, and acceptance criteria while supporting RESTful services and healthcare integration platforms.
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• Plan and coordinate System Integration Testing (SIT), User Acceptance Testing (UAT), healthcare data validation, interface testing, regression testing, and end-to-end integration testing to ensure data accuracy and interoperability.
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• Manage project scope, timelines, risks, RAID logs, stakeholder communication, change management, and project governance while ensuring compliance with HIPAA, healthcare regulations, and organizational quality standards.
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Required Skills:

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• 7+ years of experience as a Business Analyst or Project Manager in Healthcare IT.
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• Strong knowledge of HL7 v2 messaging, FHIR R4, SMART on FHIR, CDS Hooks, and healthcare interoperability frameworks.
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• Experience with X12 EDI (270/271, 276/277, 278, 834, 835, 837) and NCPDP SCRIPT standards.
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• Hands-on experience with EHR/EMR integration projects (Epic, Cerner, athenahealth, Meditech, etc.).
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• Strong understanding of REST APIs, JSON, XML, API documentation, and healthcare integration workflows.
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• Experience in healthcare data mapping, validation, reconciliation, integration testing, and defect management.
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• Proficiency in Agile/Scrum methodologies, Jira, Confluence, Azure DevOps, Microsoft Project, and requirement management tools.
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• Excellent stakeholder management, communication, analytical, problem-solving, and project coordination skills.
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Preferred Qualifications:

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• Experience with healthcare integration engines such as Mirth Connect, Cloverleaf, Rhapsody, or InterSystems HealthShare.
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• Knowledge of HIPAA, HITECH, CMS regulations, and healthcare security best practices.
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• Experience working with cloud-based healthcare integration platforms and API management solutions.
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• Relevant certifications such as CBAP, PMP, PMI-ACP, CSM, or Certified Scrum Product Owner (CSPO) are preferred.
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