Business analyst/project manager-healthcare process

Hello,

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

Exp: 7+Years

Work Location: Hyderabad

Work Mode: 5 Days work from office

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

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

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

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

Job description:

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.

Key Responsibilities:

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. 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. 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. Work closely with providers, payers, pharmacies, architects, developers, QA teams, and third-party vendors to design and implement healthcare integration workflows and interface specifications. 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. Define API specifications, interface mappings, business rules, data transformation requirements, and acceptance criteria while supporting RESTful services and healthcare integration platforms. 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. 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.

Required Skills:

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

Preferred Qualifications:

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