Clinical Business Analyst

Hiring: Lead Clinical Business Analyst (100% Remote – US)Looking for a Lead Clinical BA to support CMS-0057-F interoperability mandate focused on improving electronic data exchange and prior authorization workflows.🔹 Key Requirements:10+ years as Business AnalystExperience with CMS-0057-F mandate (must have)Strong experience in API requirements gathering & documentationExperience working with healthcare platforms like GuidingCare, Medecision, Jiva, MCG, or InterQual🔹 Responsibilities:Gather & document requirements for API-driven projects (UM, Patient & Provider Access)Work closely with business & technical teams to drive deliveryManage user stories and ensure compliance with CMS & BCBSA mandates💡 Nice to Have: GuidingCare or MCG experience