Healthcare Business Analyst / Healthcare SME (From Hospital Industry)

• 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.