Business Analyst with HIPAA Compliance

Job Summary

Serving as the connective tissue between Medicare claims policy and engineering teams, the full-time remote Business Analyst with HIPAA Compliance will manage HIPAA-compliant artifacts, validate changes to Medicare claims processing, and communicate effectively with internal and external stakeholders.

Key responsibilities

• Own and maintain HIPAA-compliant source-of-truth artifacts related to Medicare claims business rules and requirements
• Act as the subject matter expert on Medicare Part A and Part B claims processing, evaluating the impact of proposed changes
• Facilitate communication of validated changes to external stakeholders, ensuring clarity and documentation of updates

Required qualifications

• Demonstrated subject matter expertise in CMS Medicare claims processing, particularly with Part A and/or Part B claims
• Experience as a Business Analyst, Product Owner, or in a related role within a federal program or regulated healthcare environment
• Strong command of Excel for managing complex data, including validation and change tracking
• Working understanding of HIPAA and handling of sensitive data
• Ability to obtain and maintain a CMS Public Trust clearance