Senior Business Analyst - IT

HealthHelp - A WNS Company (www.HealthHelp.com), is the leader in the field of healthcare utilization and care management. We have gained this position by actively working to change out-of-date practices with a collaborative, non-denial based approach. Our methodology helps payors achieve a higher return on investment, gives providers education programs that better inform physicians, and ensures quality and safety for the patients needing treatment. HealthHelp’s innovative approach and strong IT capability in specialty benefits management means that staff will move healthcare forward when provided with evidence-based solutions and second opinions. HealthHelp's staff is comprised of healthcare professionals who make a difference every day. HealthHelp has a desire to fill their company with talented and innovative people who want a career path filled with success and personal growth. Our specialty benefits management services are broad and include, Cardiology, Oncology, Radiology, Radiation Therapy, Sleep Care, and Musculoskeletal Care. HealthHelp is headquartered in Houston, Texas. HealthHelp provides equal opportunities to all employees and applicants without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state, and local laws. If you need assistance in completing this application due to a disability, please contact a member of the Talent Acquisition Group to request an accommodation or an alternative application process by emailing [email protected]

SUMMARY

We are seeking a highly skilled and proactive Sr. Business Analyst to be our lead Product Owner and lead the end-to-end delivery of our interoperability and FHIR-based integration initiatives. This role is critical to supporting CMS-mandated transitions and ongoing EDI/FHIR integration efforts. The ideal candidate will bring strong domain knowledge in healthcare data exchange, experience leading cross-functional teams, and the ability to drive results from discovery through deployment.

You will serve as the voice of the product—translating business needs into technical execution, ensuring alignment across internal and external stakeholders, and monitoring progress across the full product lifecycle.

Key Responsibilities:

• Serve as the primary point of contact for documenting functional & technical requirements, with visuals, across all inbound and outbound prior authorization workflows, Interactive Voice Recording (IVR), AI-enabled clinical documentation review and recommendations, and FHIR-based prior authorization decisions.

• Collaborate with cross-functional teams (Business stakeholders, Engineering and QA, to gather, define, and prioritize product requirements.

• Translate complex regulatory and technical requirements into clear, actionable Feature & User Stories and acceptance criteria.

• Actively monitor daily API performance and errors across FHIR and EDI integrations, triage root causes, and work with engineering teams to resolve issues efficiently.

• Guide sprint planning, backlog grooming, and release planning activities in alignment with agile best practices.

• Serve as the subject matter expert (SME) for interoperability use cases, including payload structures, system dependencies, and integration touchpoints.

• Support client onboarding and implementation teams with pre-launch readiness, test case validation, and post-launch stabilization.

• Partner with architects and regulatory teams to stay current with CMS mandates and industry standards.

• Design and maintain a pseudo-dashboard to track integration health by client/trading partner and data transfer type (e.g., authorizations, attachments, status, IVR, AI). This includes monitoring error rates vs. success rates, identifying recurring issues by API endpoint, and providing visibility into system performance to support proactive troubleshooting and decision-making.

Required Qualifications

• Minimum 5+ years of experience as a Product Owner, Product Manager, or similar role in healthcare IT.

• Strong understanding of FHIR APIs, HL7, X12 278 EDI transactions

• Proven experience managing complex data integration projects with external partners and internal development teams.

• Familiarity with error-handling workflows and ability to diagnose root causes.

• Exceptional communication and collaboration skills with both technical and non-technical stakeholders.

• Strong organizational skills and attention to detail in managing competing priorities.

• Experience working in Agile/Scrum environments and using Azure DevOps.

Preferred Qualifications

• Experience with payer or utilization management systems.

• Hands-on experience with tools for interface monitoring and log diagnostics.

• Knowledge of CMS Rule 9115-F and HL7 Da Vinci use cases for prior authorization.

• Background in EHR/EMR integration or clinical data exchange.

Compensation Disclosure

The base salary range for this position is $115,000 to $135,000 annually. This represents the base pay range that we reasonably expect to offer for this position.

Final compensation will be determined based on a variety of factors, including but not limited to the candidate’s experience, education, skillset, and location.

In addition to base pay, this role may be eligible for performance-based bonuses, incentive pay, or commissions, which are not included in the listed base salary range.

WNS complies with all applicable federal, state, and local pay transparency laws, including those in California, Colorado, New York, Washington, and Illinois.

Note: For complete compensation information, please refer to the job posting on our official careers page.

Benefits Overview

Our benefits package includes (but is not limited to):

- Medical, dental, and vision insurance

- Paid time off (PTO), holidays, and sick leave

- 401(k) with company match or other retirement plan

- Life and AD&D Insurance

- Employee Assistance Program

Equal Opportunity Employer Statement

WNS is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other status protected under federal, state, or local law.

We also provide reasonable accommodations to individuals with disabilities and for sincerely held religious beliefs in all aspects of employment, including the application process.

How to Apply

Please submit your application, including a resume and optional cover letter, through our careers page or email to [email protected].