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Opening for Business Analyst - Interoperability with Healthcare || Newark, NJ- Hybrid || Contract

Job

SR Partners LLC

Newark, NJ (In Person)

Full-Time

Posted 3 days ago (Updated 16 hours ago) • Actively hiring

Expires 7/24/2026

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Job Description

Job Title :
Lead Business Systems Analyst Interoperability & ePA ( electronic Prior Authorization)
Location:
Newark, NJ -
Hybrid Mode of Hire:
Contract Job Description:
Primary Responsibilities:
Requirements Leadership:
Own end-to-end business and functional requirements for ePA, CRD, DTR, and PAS. Facilitate requirement sessions across business, operations, and technology teams. Translate regulatory requirements into business and technical requirements. Maintain requirements traceability from CMS regulations through implementation and testing.
Vendor Management:
Act as primary day-to-day requirements lead with Availity. Review vendor assumptions, solution designs, workflows, and implementation approaches. Track gaps, risks, dependencies, and open decisions.
FHIR & Interoperability Analysis:
Understand CRD, DTR, PAS, Patient Access, Provider Access, and Payer-to-Payer workflows. Analyze FHIR resource requirements and data mapping needs. Partner with API teams on business workflow impacts.
Cross-Team Coordination:
Coordinate between:
UM Medical Policy Clinical Teams Horizon API Team Availity Cognizant Prime Enterprise Architecture Testing Testing & Readiness:
Define business test scenarios. Coordinate end-to-end testing. Validate provider workflows. Support CMS and BCBSA compliance readiness.
Required Experience:
Must Have:
8+ years as BSA/Product Owner/Product Manager Healthcare payer experience Prior Authorization experience Vendor management experience API integration experience Strong facilitation and stakeholder management skills
Highly Preferred:
FHIR CMS-0057-F CRD/DTR/PAS HL7
Interoperability programs Utilization Management workflows Medical Policy systems PSRTEK is a reputed technology recruitment and IT staffing brand with a global footprint and an admired client base. As an ideas and innovation powerhouse with a culture of excellence, we bring remarkable expertise and deliver powerfully transformative results.