Job Description: Job Title: Senior Business Systems Analyst (Case Management Focus) Summary: The Clinical Analyst serves as a subject matter expert on data quality and availability, ensuring interoperability of clinical data. This role focuses on case management and utilization review workflows, providing technology solutions and driving process improvements. Responsibilities: • Document data needs by working with stakeholders and test data for validity. • Map clinical data semantically and syntactically to standards for interoperability. • Act as a quality consultant, performing testing and validation of data element mapping. • Test clinical content for proper data modeling, vocabulary, terminology, and code-set standards. • Collaborate with technical teams to perform root cause analysis and remediate data quality issues. • Work with customers to clarify technology needs and map existing business processes. • Design and implement projects requiring systems integration across multiple platforms. • Conduct ROI and financial analyses to support project prioritization. • Drive improvement activities to achieve departmental and organizational goals. • Maintain current knowledge of industry trends and apply to business processes. • Provide subject matter expertise on Health Ministry processes and policies. • Identify opportunities for process improvement and recommend solutions. • Monitor task assignments for schedule, scope, and quality compliance. • Escalate unresolved process and project issues. Skills & Qualifications: • 5–7 years of experience in healthcare data analysis and interoperability. • Expertise in healthcare terminologies and code sets (SNOMED CTTM, LOINC, ICD9-10, CPT4/HCPCS, RxNorm, CVX). • Working knowledge of relational databases and SQL. • Understanding of data in EMRs and experience navigating EMR systems. • Knowledge of ambulatory and acute clinical workflows and information systems. • Familiarity with ONC Interoperability Standards, U.S. Core Data for Interoperability, and ONC Certification Rules. • Experience with HL7 standards, CDA, and FHIR. • Bachelor's or Master's degree in a health-related field (e.g., social work, human services, public health, nursing, epidemiology, informatics, bioinformatics). • Knowledge and experience with case management and/or utilization review workflows. • Strong critical thinking, independent work capability, and ability to thrive in a fast-paced environment. Work Details: • Fully remote; align with Central Time business hours. • No travel required. \#LI-NorthAmerica