[Remote] Senior IT Business Analyst (Interoperability/Authorization)

Note: The job is a remote job and is open to candidates in USA. United Software Group Inc is seeking a Senior IT Business Analyst to bridge business strategy and technical execution for internal healthcare data exchange solutions. The role focuses on healthcare interoperability, authorization workflows, compliance, requirements analysis, testing and validation, and collaboration with Databricks data engineering teams on PySpark and SQL transformation pipelines.

Responsibilities

• Requirement Gathering: Identify applicable contractual requirements, obligations, policy requirements, compliance requirements, and business rules
• Functional Specs: Map contractual and business requirements into detailed functional specifications
• Standards Enforcement: Serve as the subject matter expert for healthcare data compliance across all internal platforms
• Testing & Validation: Define comprehensive test scenarios, validate complex payloads, and coordinate End-to-End user acceptance testing
• Data Collaboration: Partner with data engineers to support translating business logic into optimized PySpark or SQL transformation pipelines

Skills

• Minimum 10+ years of IT Business Analysis experience, with at least 4 years dedicated to healthcare interoperability and authorization
• 10+ years experience working within a health plan environment, including deep grasp of authorization workflows
• 3+ years working knowledge of CMS Interoperability rules
• 3+ years SQL skills to analyze large datasets, write complex joins, and audit pipeline data quality
• 3+ years experience with 837 (Claims), 834 (Enrollment), 835 (Remittance), and 270/271 (Eligibility) processes
• 1+ years familiarity with Delta Lake concepts, Medallion Architecture (Bronze/Silver/Gold), and Unity Catalog governance
• Proven success operating in fast-paced Scrum or Kanban environments, owning Jira epics and story decomposition
• Ability to explain highly complex X12 looping structures to developers, and technical Databricks limitations to business stakeholders

Company Overview

Welcome to Vistara Solutions Inc. United Software Group Inc. is now rebranded as Vistara Solutions Inc. — marking a bold new chapter in our journey. It was founded in 2002, and is headquartered in Dublin, Ohio, USA, with a workforce of 1001-5000 employees. Its website is https://usgrpinc.com/.

Company H1B Sponsorship

United Software Group Inc has a track record of offering H1B sponsorships, with 10 in 2025, 17 in 2024, 26 in 2023, 120 in 2022, 73 in 2021, 50 in 2020. Please note that this does not guarantee sponsorship for this specific role.