Business Analyst with Life Sciences Domain Exp

Title: Domain Consultant (Business Analyst with life sciences domain exp mandatory) Location : Valencia, CA Duration: 6+ months. Key Responsibilities • Act as a subject matter expert (SME) in pre-authorization workflows, covering medical necessity, clinical documentation, prior authorization rules, and payer–provider interactions. • Support clients in transforming pre-auth processes to improve speed, compliance, and patient experience. • Analyze existing business processes, identify gaps, and design target operating models for pre-auth. • Partner with technology teams to shape digital and GenAI solutions (e.g., automated prior authorization, real-time benefit checks, interoperability with EMR/EHR). • Advise on compliance with CMS, FDA, and global regulations around pre-authorization, patient safety, and access. • Collaborate with product managers, architects, and delivery teams to ensure business requirements are translated into solution designs. • Conduct workshops with client stakeholders to gather business requirements, define KPIs, and build consensus. • Contribute to thought leadership (white papers, PoVs, webinars) on pre-auth trends and innovation in life sciences. Preferred Qualifications • Experience with CMS interoperability mandates (e.g., CMS-0057-F, PA APIs). • Knowledge of life sciences value chain (pharma/biotech market access, hub services, patient support programs). • Familiarity with AI/ML and automation use cases in pre-auth and utilization management. • Prior experience in a consulting firm or digital transformation environment.