About the roleWe support a federal agency in bringing generative AI into its healthcare oversight work. You'll be the link between auditors and investigators and our AI team: turning their needs into clear use cases and requirements, and making sure the solutions fit into their daily workflow.
What you'll do- Work with auditors and investigators to find and prioritize AI use cases
- Gather and document business requirements, workflows and success measures
- Use AI agents and tools to draft and refine requirements documents, user stories and acceptance criteria
- Take clear, accurate meeting minutes and track decisions and action items
- Map current audit and investigation processes and point out where AI can add value
- Manage the backlog in Jira and help run sprint planning, reviews and retrospectives
- Support user acceptance testing and evaluation of AI outputs, and collect user feedback
- Write user guides and training materials, and help lead training sessions
- Keep stakeholders up to date on progress, decisions and open questions
Required- Bachelor's degree in business, healthcare administration, public health or a related field
- 4+ years as a business analyst or in a related role
- Experience with healthcare claims investigations or audits, such as a payer Special Investigations Unit (SIU), a program integrity team or claims/provider audit work
- Hands-on experience with healthcare provider data (e.g., NPI, taxonomy, enrollment, affiliations)
- Working knowledge of SQL for querying and analyzing claims data
- Understanding of claims data (CPT/HCPCS, ICD-10, NDC codes, member data) and common fraud, waste and abuse schemes
- Experience with Jira and running Agile sprints
- Experience using AI agents or tools to speed up requirements and documentation work
- Strong facilitation, meeting-minute and requirements documentation skills
- Able to pass a federal background investigation
Nice to have- Certifications such as AHFI or CFE
- Exposure to AI or analytics projects
- Prior federal consulting experience
We offer a competitive and comprehensive benefits package that includes the following:
- Medical/Prescription Drug Plan
- Dental Plan
- Vision Plan
- Basic Life Insurance
- Accidental Death & Dismemberment Insurance
- Short Term Disability Insurance
- Long-Term Disability Insurance
- 401K Retirement Plan
- Flexible Spending
- Employee Assistance Program (EAP)
- Paid time off and Holidays
If you are eager to become part of our team, and make a difference through impactful projects, don't miss this chance!
