Business Analyst

fractal-analytics.framer.ai

Base: $180,000-$195,000; bonus/equity: not specifi...
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6-10+ years business analyst experience in healthcare
Provider network operations and credentialing expertise
Care management and utilization management workflows
** Fractal Analytics is seeking an experienced Business Analyst specializing in Provider Networks and Care Management within the healthcare sector. The ideal candidate will have 6-10+ years of relevant experience and a strong understanding of healthcare payer operations, with a focus on optimizing provider networks and care management processes. **

Job Summary

  • The role partners with clinical, network, operations, IT, and analytics teams to analyze business processes and support initiatives that improve clinical outcomes and operational efficiency.
  • Candidates must have deep knowledge of healthcare payer operations and the ability to translate complex clinical needs into clear functional and technical requirements.
  • Benefits include health, dental, vision, life insurance, disability plans, a 401(k) plan after 30 days, 11 paid holidays, 12 weeks of Parental Leave, and a flexible PTO policy.

Matching Summary

Match Score: 75

** Fractal Analytics is seeking an experienced Business Analyst specializing in Provider Networks and Care Management within the healthcare sector. The ideal candidate will have 6-10+ years of relevant experience and a strong understanding of healthcare payer operations, with a focus on optimizing provider networks and care management processes. **

Salary

Base: $180,000-$195,000; Bonus/Equity: Not specified; Benefits: Health, dental, vision, life, disability, 401(k), 11 holidays, 12 weeks parental leave, free time PTO

Skills & Requirements

Must-have

  • 6-10+ years Business Analyst experience in healthcare
  • Provider Network operations and credentialing expertise
  • Care Management and Utilization Management workflows
  • BRD, FRD, and user story documentation skills
  • SQL, Excel, or BI tools data analysis capability
  • Knowledge of ICD-10, CPT, HCPCS, HEDIS standards

Nice-to-have

  • Experience with FHIR-based integrations
  • Familiarity with Value-Based Care and ACOs
  • CBAP, CCBA, or PMI-PBA certification
  • Strong communication with clinical stakeholders
  • Experience in payer modernization initiatives

Key Requirements

  • 6-10+ years of Healthcare Business Analyst experience
  • Hands-on experience with Provider Network and Care Management programs
  • No immigration sponsorship available at this time

Work Rights

Not specified

Tailored Resume

Cover Letter