Healthcare Business Analyst / Healthcare SME (From Hospital Industry)
Remote
Role Summary
The Healthcare Business Analyst (Healthcare SME) will serve as the primary liaison between clinical stakeholders, care management teams, product owners, architects, and AI/data teams to define requirements for an AI-enabled Connected Diabetes Care solution. The role will focus on understanding diabetes care workflows, identifying care gaps, defining use cases, validating AI-generated insights, and translating clinical and business requirements into actionable product specifications, epics, and user stories.
Key Responsibilities
- Lead discovery sessions with clinicians, care managers, product owners, and business stakeholders to document diabetes care workflows, intervention points, and patient engagement processes.
- Analyze current-state diabetes management processes and identify opportunities for AI-driven risk stratification, proactive outreach, and clinical decision support.
- Define business objectives, success criteria, KPIs, MVP scope, and functional requirements for the Connected Diabetes Care platform.
- Collaborate with Clinical SMEs, Data Scientists, and AI Architects to define patient cohorts, clinical patterns, risk indicators, and intervention scenarios.
- Facilitate AI/ML use case discovery and prioritization workshops to align clinical value with technical feasibility.
- Translate business and clinical requirements into epics, features, user stories, acceptance criteria, and sprint-ready requirements.
- Support validation of Epic, FHIR, CGM, Snowflake, and related healthcare data workflows from a business and clinical perspective.
- Lead QA and validation workshops, defining business test scenarios, clinical validation criteria, and success metrics for AI-driven recommendations.
- Conduct clinical review sessions to validate identified patterns, patient risk factors, and AI-generated recommendations with care management teams.
- Develop workflow diagrams, requirements documentation, business process models, use case specifications, and executive-ready recommendations.
- Drive stakeholder communication, workshop facilitation, requirements traceability, and sign-off throughout the assessment engagement.
- Contribute to implementation roadmaps, delivery planning, backlog creation, and product strategy recommendations.
Required Qualifications
- Bachelor's degree in Healthcare Administration, Nursing, Life Sciences, Public Health, Health Informatics, or related discipline.
- 8+ years of experience as a Healthcare Business Analyst, Clinical Consultant, Healthcare Product Analyst, or Healthcare SME.
- Strong knowledge of Diabetes Care Management, Population Health, Care Coordination, and Patient Engagement workflows.
- Experience working with healthcare providers, health systems, payers, or care management organizations.
- Strong understanding of EHR workflows, preferably Epic.
- Familiarity with healthcare interoperability standards including FHIR, HL7, and healthcare APIs.
- Experience eliciting and documenting business requirements, workflows, use cases, and user stories.
- Demonstrated experience facilitating workshops with clinicians, care managers, executives, and technical teams.
- Knowledge of Agile delivery methodologies and backlog management tools.
Preferred Qualifications
- Clinical background (RN, Care Manager, Diabetes Educator, Allied Health Professional, or Clinical Operations Specialist).
- Experience supporting AI/ML, Advanced Analytics, or Digital Health initiatives.
- Understanding of Continuous Glucose Monitoring (CGM), Remote Patient Monitoring (RPM), and chronic disease management programs.
- Knowledge of value-based care, quality measures, patient risk stratification, and care pathway optimization.
- Familiarity with Snowflake, AWS healthcare solutions, and healthcare data platforms.