Note: The job is a remote job and is open to candidates in USA. Cotiviti is seeking an Integration Business Analyst to support the development and implementation of integrated health enablement technology solutions. The role gathers and translates business requirements, coordinates stakeholders and workstreams, and supports the design, implementation, testing, and compliance alignment of risk adjustment solutions.
Responsibilities
- Gather, analyze, and document complex business requirements across risk adjustment workflows (prospective, concurrent, retrospective)
- Translate business needs into detailed functional specifications, user stories, and acceptance criteria for development teams
- Conduct stakeholder interviews and workshops to identify integration touchpoints, dependencies, and workflow requirements across multiple platforms
- Create and maintain requirements traceability matrices and change control documentation
- Analyze current data structures, workflow models, and system architecture to define integration and data model requirements
- Facilitate communication and validation sessions across product, engineering, legal, compliance, and operational teams
- Lead cross-functional requirements review meetings and support project planning, timelines, and implementation activities
- Document as-is and to-be business processes, ensuring alignment with compliance and market requirements
- Develop test scenarios and support user acceptance testing to validate solutions
- Complete all responsibilities as outlined in the annual performance review and/or goal setting**.**
- Complete all special projects and other duties as assigned
- Must be able to perform duties with or without reasonable accommodation
Skills
- Bachelor's degree in Business Administration, Information Systems, Healthcare Administration, or related field, plus 8 years' related experience (or a master's degree with 6 years' experience, or equivalent), required
- 3-5 years of experience in business analysis, ideally in healthcare technology, risk adjustment, or similar regulatory environments
- Experience with complex system integrations, API integrations, cross-platform requirements gathering, and data mapping
- Proficiency with requirements management and documentation tools (e.g., JIRA, Azure DevOps, Confluence; preferred: Excel, SQL basics)
- Strong analytical and problem-solving skills with experience in process mapping, workflow documentation, and data analysis
- Exceptional communication and interpersonal skills with the ability to facilitate meetings and workshops across diverse business and technical stakeholders
- Strong attention to detail, ability to work independently, and capacity to manage multiple priorities in a fast-paced environment
- Solid understanding of the software development lifecycle and agile methodologies
- Excellent written and verbal communication skills
- Ability to analyze and interpret complex business processes, workflows, and data
- Skill in synthesizing information and translating business needs into clear
- Strong critical thinking and problem-solving abilities to evaluate options and recommend solutions
- Capacity to maintain attention to detail while multiple priorities and deadlines
- Proficiency in organizing and presenting information for documentation and stakeholder communication
- Ability to facilitate discussions, capture input, and build consensus among stakeholders
- Ability to change information, technology, and regulatory requirements
- Effective decision-making under time constraints with consideration of business and technical impacts
- Clear and effective verbal and written communication of complex concepts
- Remaining in a stationary position, often standing or sitting for prolonged periods
- Repeating motions that may include the wrists, hands, and/or fingers
- Must be able to provide a dedicated, secure work area
- Must be able to provide high-speed internet access/connectivity and office setup and maintenance
- Advanced certifications such as CBAP, preferred
- Knowledge of healthcare data standards (HIPAA, HL7), risk adjustment methodologies, and healthcare technology platforms/integration solutions (preferred)
Benefits
- This role is eligible for discretionary bonus consideration.
- Medical insurance coverage
- Dental insurance coverage
- Vision insurance coverage
- Disability insurance coverage
- Life insurance coverage
- 401(k) savings plans
- Paid family leave
- 9 paid holidays per year
- 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti
Company Overview
Company H1B Sponsorship