The Business Analyst will support requirements management, backlog refinement, testing, production support, stakeholder engagement, and training activities related to CMS quality reporting, survey and certification, and healthcare oversight programs. This role requires close collaboration with Product Owners, business stakeholders, developers, testers, and end users to ensure complex healthcare and regulatory requirements are accurately documented, prioritized, developed, tested, and deployed.
The ideal candidate will have extensive experience working in Agile/SAFe development environments and a proven ability to translate complex federal healthcare regulations, policy requirements, and business processes into actionable technical solutions.
Responsibilities- Collaborate with Product Owners, business stakeholders, subject matter experts, and Agile teams to understand business needs and translate them into actionable epics, features, and user stories.
- Lead requirements elicitation sessions with stakeholders and SMEs to gather, analyze, and document business, functional, system, data, reporting, and workflow requirements.
- Analyze and document current and future-state business processes, including federal and state survey, certification, accreditation, quality measurement, and healthcare reporting workflows.
- Collaborate closely with Product Owners to refine and prioritize backlogs, define acceptance criteria, and support SAFe Program Increment (PI) Planning activities.
- Translate complex CMS business rules, healthcare regulations, and policy requirements into clear, concise user stories with well-defined acceptance criteria.
- Ensure requirements are continuously refined and ready for development teams in upcoming Sprints (Iterations).
- Facilitate backlog grooming sessions and provide clarification on healthcare workflows related to CMS Survey & Certification (S&C) data, quality reporting, and regulatory compliance.
- Work closely with developers, architects, data analysts, and testers to ensure healthcare business needs are accurately translated into functional specifications and technical solutions.
- Analyze healthcare datasets, reporting requirements, and business rules to validate data accuracy and support report and dashboard design activities.
- Collaborate with technical teams to define source-to-target mappings, data validation rules, business logic, and reporting requirements.
- Gather and document requirements for reports, dashboards, performance metrics, and data visualizations that support CMS quality improvement and oversight programs.
- Partner with QA teams to support test case development, validation of requirements, defect management, and User Acceptance Testing (UAT).
- Analyze production issues, perform root cause analysis, document findings, and coordinate resolution activities with technical teams.
- Triage and expedite production support tickets, provide status updates to stakeholders, and help ensure timely issue resolution.
- Assist with user training, stakeholder communications, system demonstrations, and documentation development.
Required Skills & Experience- Bachelor's degree in Business, Computer Science, Information Systems, Healthcare Administration, Public Health, or a related field (or equivalent experience).
- Minimum of five (5) years of experience as a Business Analyst or similar role supporting Agile development environments, including Scrum and Scaled Agile Framework (SAFe).
- Prior experience supporting the implementation, administration, analysis, or oversight of federal and/or state healthcare policies, programs, regulatory requirements, or healthcare operations.
- Experience supporting CMS quality improvement, quality measurement, survey and certification, provider oversight, healthcare reporting, or similar healthcare regulatory programs.
- Demonstrated understanding of federal and/or state healthcare policies, survey and certification processes, accreditation requirements, regulatory compliance, and healthcare reporting workflows.
- Experience translating healthcare regulations, policy requirements, and operational processes into detailed business and system requirements.
- Proficiency in creating epics, features, user stories, acceptance criteria, process flows, and business requirements documentation using tools such as Jira and Confluence.
- Experience gathering and documenting requirements for reports, dashboards, data analytics, and performance measurement solutions.
- Strong analytical and problem-solving skills, including experience performing data validation and requirements traceability.
- Excellent verbal and written communication skills with the ability to communicate complex regulatory, business, and technical information to diverse audiences.
- Experience supporting testing activities, defect resolution, and user acceptance testing.
- Must be a U.S. Citizen with the ability to obtain and maintain a Public Trust (Tier 1) Security Clearance.
Preferred Skills- Previous experience supporting CMS programs, including quality measurement, survey and certification, provider oversight, healthcare quality reporting, or regulatory compliance initiatives.
- Previous experience working for or supporting CMS, HHS, state Medicaid agencies, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), or similar healthcare organizations.
- Experience using UI/UX design tools such as Figma or Balsamiq.
- Experience using process modeling and workflow tools such as Visio, Lucidchart, or similar platforms.
- Experience with SQL, DBeaver, data querying, and healthcare data validation techniques.
- Experience with Amazon QuickSight, Databricks, or other business intelligence and reporting tools. Familiarity with CMS data standards, healthcare quality measures, and healthcare reporting methodologies.
- Familiarity with Section 508 accessibility requirements for federal applications, reports, and documentation.
Location: Leesburg, VA
Work Arrangement: 100% Remote
