5-8+ years as a Business Analyst/Product Analyst/Solutions Analyst in healthtech or enterprise software.
Demonstrated ownership throughout project life cycle from discovery to post-launch iteration.
Proficiency with SQL and BI tools like Looker, Tableau, or Mode for analyzing complex datasets.
Ability to write user stories, acceptance criteria, and process diagrams; strong written communication skills.
Strong stakeholder management skills; fast alignment and influence without authority.
Familiarity with payer/provider workflows and healthcare data (claims/EHR).
Awareness of security and compliance (HIPAA/PHI) in AI workflows.
Responsibilities
Lead structured discovery with customers and synthesize business objectives and success criteria.
Convert insights into clear PRDs, user stories, and process maps with a focus on scalability.
Break down complex healthcare workflows into automatable steps.
Define KPIs; build SQL queries and dashboards to track results.
Collaborate with data science teams to create evaluation metrics for AI features.
Validate data quality and document assumptions effectively.
Drive backlog grooming and ensure sprint readiness, removing roadblocks.
Benefits
High-impact opportunity to influence healthcare AI's future.
Autonomy and ownership to direct personal growth.
Comprehensive health, dental, and vision insurance covered fully by employer.
Retirement plan options and employee assistance programs.
Join a dynamic team addressing significant healthcare challenges.
Full Job Description
Role Overview
We're hiring a Healthcare Discovery Analyst to translate complex healthcare workflows into clear requirements and AI-enabled solutions. You'll work directly with customers to understand current processes, identify opportunities for automation, design future-state workflows, and own requirements from discovery through delivery.
You'll partner closely with Project Managers, Solution Architects, Clinical SMEs, QA, Product, Engineering, and AI/ML teams. You don't need to be a developer or ML engineer, but you should be technically curious, comfortable with AI-enabled products, and experienced using modern AI tools to improve how you work.
Key Responsibilities
Discovery & Requirements
Lead customer and internal discovery sessions to understand business objectives, workflows, pain points, business rules, exceptions, and success criteria.
Translate findings into clear BRDs, requirements, user stories, acceptance criteria, current/future-state workflows, and solution mockups that communicate the intended experience to customers and technical teams.
Document the client applications involved in each workflow, including what is read or written, and produce field-level data mappings to hand off to Solution Architects for integration design.
Decompose complex healthcare processes (including areas such as UM, Prior Authorization, Appeals & Grievances, Care Management, claims, and clinical workflows) into clear, automatable steps.
Work with Clinical SMEs to validate clinical rules, criteria, and edge cases on clinical use cases.
Create process maps using tools such as Mural, Lucidchart, Visio, or similar platforms and drive open questions and requirements through resolution.
AI & Technical Fluency
Identify where rules, automation, and AI can each improve a workflow, and propose human-in-the-loop steps where judgment or review is needed, working with Solution Architects to finalize the approach. Understand concepts such as LLMs, OCR, RAG, extraction, and classification.
Use various AI and LLM tools to accelerate analysis, documentation, workflow design, and other day-to-day work.
Understand technical concepts such as APIs, SFTP/file exchange, integrations, and data flows well enough to collaborate effectively with Solution Architects, Engineering, and AI/ML teams.
Execution & Ownership
Work with Project Managers and Solution Architects to move solutions from discovery into implementation.
Translate requirements into well-structured Jira tickets and recommend priorities based on business value, customer needs, dependencies, and project objectives.
Define KPIs and success criteria for each workflow.
Partner with QA to draft the test strategy and test cases, making sure everything in the BRD is covered, and support UAT and release readiness.
Own your work end to end: surface gaps early, follow through on open questions, keep requirements current, flag requirement changes or scope creep so they can go through change control, and ensure stakeholders remain aligned.
Handle client data responsibly in line with HIPAA and internal data-handling policies, using de-identified or synthetic data in requirements, mockups, and other artifacts.
Customer & Communication
Lead and participate in customer meetings with both business and technical stakeholders, communicating complex concepts clearly and confidently.
Produce polished, customer-ready documentation and effectively prepare deliverables for client sign-off.
Manage multiple customer workstreams, meetings, requirements, decisions, and follow-ups in a fast-moving environment.
Must-Have Qualifications
2-5 years of relevant professional experience in healthcare business analysis, consulting, healthtech, healthcare operations, implementation, health informatics, solutions analysis, or a related role.
Strong knowledge of healthcare operations and direct experience working on payer processes and translating them into clear BRDs for technical teams.
Working knowledge of HIPAA and safe handling of PHI in a healthcare setting.
Experience gathering requirements and creating BRDs, workflows, business rules, user stories, acceptance criteria, or similar artifacts.
Experience designing current-state and future-state workflows using process-mapping tools.
Strong client-facing, written, and verbal communication skills.
Familiarity with Jira and translating business requirements into development work.
Practical experience using AI tools in professional work and curiosity about new ways to apply AI and automation.
Strong organization, attention to detail, and ability to manage multiple priorities.
A strong sense of ownership and structured curiosity - you ask the right questions, uncover what is missing, and drive ambiguity toward clarity.
Comfort working in a growing organization where priorities evolve and processes are continuously improved
Bonus Points
Direct experience with UM, Prior Authorization, Appeals & Grievances, Care Management, claims, clinical documentation, or related healthcare workflows.
Experience with AI-enabled healthcare solutions, including OCR, RAG, extraction, classification, or document understanding.
Familiarity with FHIR/HL7, X12, or clinical terminology such as ICD-10, CPT, or SNOMED.
Background in healthcare consulting, implementation, or customer-facing healthtech delivery.
Experience building mockups or prototypes with AI tools.
Experience designing human-in-the-loop AI workflows in a production setting.
What We Offer
High-impact opportunity to shape the future of healthcare AI.
Autonomy, ownership, and the ability to chart your own growth path.
Competitive base salary + commission + accelerators.
100% employer-paid health, dental, and vision insurance.
Retirement plans (401k), disability insurance, and employee assistance programs.
Work with a bold, fast-moving team solving meaningful problems.
How to Apply
Send your resume and a brief note to explaining why you're the right partner to expand our most strategic national accounts.
