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Carex is partnering with a Health Insurance industry partner to find a Lead Business Analyst to join the Business Configuration team. This role serves as a senior technical and analytical leader responsible for translating complex compliance, business, and technical requirements into scalable solutions. The Lead Business Analyst drives interoperability strategy, collaborates across stakeholders including providers, vendors, and regulatory bodies, and ensures the effective design, implementation, and adoption of high-impact solutions.
Job Responsibility:
Lead the development and execution of interoperability strategy aligned with organizational goals and regulatory requirements
Drive cross-functional initiatives that improve operational efficiency and ensure compliance across systems and data exchanges
Define and manage project roadmaps, ensuring timely delivery of key milestones and strategic objectives
Collaborate with internal stakeholders, external vendors, government agencies, and partners to support seamless integration efforts
Provide regular updates to senior leadership on program progress, risks, and performance outcomes
Identify and mitigate risks related to system integration, regulatory compliance, and data security
Establish and enforce governance frameworks, policies, and procedures for secure healthcare data exchange
Monitor regulatory changes and assess their impact on systems and processes, ensuring alignment with evolving requirements
Partner with IT and cybersecurity teams to implement secure data protocols, including encryption and access controls
Maintain detailed documentation including workflows, technical specifications, compliance records, and risk assessments
Mentor team members and support performance improvement across solution delivery
Requirements:
Bachelor’s degree with 6+ years of experience in EHR and HIE technologies, OR associate degree with 9+ years, OR high school equivalency with 12+ years of relevant experience
Strong expertise in healthcare data standards such as HL7 v2/v3, FHIR, CDA, and CCD
Experience working with Epic systems, including payer platforms such as Tapestry and Compass Rose
Demonstrated ability to lead cross-functional teams and manage complex technical projects
Strong understanding of healthcare IT systems, data integration, and interoperability frameworks
Proven analytical and technical problem-solving skills, including ability to interpret complex regulatory documentation
Excellent communication and stakeholder engagement skills across technical and non-technical audiences
Experience with technical architecture, process design, and project management methodologies
Ability to manage multiple priorities in a fast-paced, evolving environment
Self-directed approach with strong organizational and documentation skills
Access to reliable high-speed internet for remote work