Business Analyst

Position Overview We are seeking an experienced Business Analyst with a strong background in healthcare or medical center environments. The ideal candidate will have hands-on experience supporting eClinicalWorks (or similar EHR systems), EDI transactions, and value-based care initiatives. This role will partner with clinical, operational, revenue cycle, and IT teams to drive process improvements, system enhancements, and data-driven decision-making. Key Responsibilities Business Analysis & Requirements Gathering • Collaborate with clinical, operational, billing, and executive stakeholders to gather and document business and system requirements. • Translate healthcare workflows into detailed BRDs, FRDs, user stories, process maps, and functional specifications. • Analyze current-state processes and recommend improvements aligned with organizational goals. EHR / eClinical Support • Support configuration, optimization, and enhancement of eClinicalWorks (or similar EHR systems). • Work closely with clinical teams to improve documentation workflows, templates, order sets, and reporting. • Assist with system upgrades, integrations, testing, and user training. EDI & Revenue Cycle • Support EDI transactions including 837 (claims), 835 (remittance), 270/271 (eligibility), and 277CA (claim status). • Partner with billing and clearinghouse vendors to troubleshoot claim rejections, denials, and interface issues. • Analyze revenue cycle KPIs and recommend process improvements to increase reimbursement accuracy and speed. Value-Based Care & Reporting • Support value-based care initiatives including HEDIS, quality metrics, risk adjustment (RAF), and population health reporting. • Develop dashboards and reports to monitor provider performance, quality measures, and cost outcomes. • Partner with care management and clinical leadership to ensure accurate data capture for incentive programs. Testing & Implementation • Lead or support UAT planning, test case creation, execution, and defect tracking. • Coordinate cross-functional teams during system implementations and enhancements. • Ensure compliance with HIPAA and healthcare regulatory standards. Qualifications • Bachelor’s degree in Healthcare Administration, Information Systems, Business, or related field. • 3–7+ years of Business Analyst experience within a healthcare or medical center setting. • Hands-on experience with eClinicalWorks (strongly preferred) or other EHR/EMR systems. • Experience with healthcare EDI transactions and revenue cycle processes. • Knowledge of value-based care models, HEDIS, quality reporting, and risk adjustment. • Strong understanding of healthcare operations, clinical workflows, and payer-provider interactions. • Experience creating BRDs, user stories, process maps, and conducting UAT. • Proficiency in Excel (advanced), and experience with reporting tools (Power BI, Tableau, or similar). Preferred Skills • Experience working with managed care organizations or MSOs. • Familiarity with population health platforms. • SQL or data analysis experience. • Bilingual (English/Spanish) a plus. Key Competencies • Strong analytical and problem-solving skills • Excellent communication and stakeholder management abilities • Detail-oriented with strong documentation skills • Ability to work in fast-paced healthcare environments Must be local to Miami, FL. This role is ideal for a Business Analyst who understands both the clinical and operational sides of healthcare and can drive improvements across EHR systems, revenue cycle operations, and value-based care programs.