Senior Business Technical Analyst

• Senior Business Technical Analyst
• 📍 Location: Jefferson City, MO, US
• 🏢 Industry: Hospital and healthcare
• 💼 Work Setting: Hybrid

• Are you a senior technical analyst with expertise in healthcare data, Risk Adjustment, SAS, SQL, and modern cloud data platforms?
• We are seeking a Senior Business Technical Analyst (Sr. BTA) to bridge Medicare Advantage and Medicaid Risk Adjustment business requirements with scalable, production-ready technical solutions. This role is responsible for translating complex business needs into system designs, advanced data solutions, automation frameworks, and Snowflake modernization initiatives that support compliant Risk Adjustment operations and regulatory reporting.
• The ideal candidate combines expertise in healthcare analytics, Risk Adjustment, SAS development, SQL engineering, Snowflake architecture, data quality, regulatory compliance, and business analysis with strong stakeholder management and technical leadership capabilities.

• Key Responsibilities
• Business & Technical Analysis
• Partner with:
• Risk Adjustment Teams
• Business Analysts
• IT Teams
• Vendor Partners
• Healthcare Operations Stakeholders
• Translate Medicare Advantage and Medicaid requirements into technical specifications.
• Analyze operational procedures, workflows, and business challenges.
• Recommend technical solutions that support organizational goals.
• Serve as a bridge between business and technology teams.
• Risk Adjustment Solutions Development
• Support:
• Encounter Risk Adjustment Prioritization
• Encounter Risk Adjustment Chart Processes
• Encounter Submission Workflows
• Regulatory Reporting Requirements
• Convert business requirements into scalable technical solutions.
• Design and maintain production-ready Risk Adjustment data processes.
• Improve workflow automation and operational efficiency.
• SAS Development & Data Engineering
• Develop, maintain, and enhance advanced SAS solutions.
• Create production-ready SAS code for:
• Data Processing
• Risk Adjustment Analytics
• Validation Activities
• Reporting Workflows
• Build reusable code libraries and shared assets.
• Support enterprise reporting and healthcare operations.
• Snowflake Modernization & Cloud Data Architecture
• Lead modernization efforts migrating legacy SAS workflows to Snowflake.
• Design cloud-native solutions using:
• Snowflake SQL
• Snowpark Python
• Tasks
• Streams
• Automated Data Pipelines
• Improve scalability, maintainability, and performance of data platforms.
• Support long-term cloud transformation strategies.
• Healthcare Data Integration
• Integrate and manage complex healthcare datasets including:
• Claims Data
• Enrollment Data
• Provider Data
• Pharmacy Data
• Clinical Data
• Vendor Chart Data
• Encounter Data
• Build robust and scalable healthcare data repositories.
• Ensure consistency and reliability across data sources.
• Support enterprise data management initiatives.
• Data Modeling & Database Solutions
• Design real-time, multi-user database solutions.
• Develop scalable data structures supporting healthcare analytics.
• Optimize database performance and accessibility.
• Ensure systems support business and regulatory requirements.
• Contribute to enterprise data architecture improvements.
• Data Quality, Validation & Compliance
• Implement frameworks supporting:
• Data Quality
• Data Validation
• Reconciliation
• Audit Readiness
• Regulatory Compliance
• Ensure adherence to:
• CMS Requirements
• Medicaid Regulations
• Risk Adjustment Standards
• Internal Governance Policies
• Support accurate and compliant encounter submissions.
• Reporting & Analytics
• Develop ad-hoc reports and analytical solutions.
• Perform:
• Data Validation
• Trend Analysis
• Operational Assessments
• Financial Impact Analysis
• Provide actionable insights supporting business decisions.
• Support reporting requirements across departments.
• System Design & Technical Documentation
• Create:
• Technical Specifications
• System Design Documents
• Process Documentation
• Data Flow Diagrams
• Knowledge Transfer Materials
• Maintain detailed technical documentation.
• Support development consistency and long-term maintainability.
• Enable effective collaboration across teams.
• Project & Stakeholder Management
• Monitor project progress and support delivery milestones.
• Identify project risks and develop mitigation strategies.
• Communicate status updates to management and stakeholders.
• Facilitate alignment between technical and business teams.
• Support successful implementation of strategic initiatives.
• Technical Leadership & Mentorship
• Act as a subject matter expert for Risk Adjustment data solutions.
• Provide guidance and training to team members.
• Support issue resolution and operational improvements.
• Promote best practices across development and analytics teams.
• Contribute to technical capability development.

Qualifications

• Education
• Required
• Bachelor's Degree in:
• Computer Science
• Information Systems
• Data Analytics
• Mathematics
• Engineering
• Related Technical Field
• Preferred
• Master's Degree in:
• Computer Science
• Mathematics
• Data Science
• Related Discipline
• Required Experience
• Experience conducting:
• Technical Data Analysis
• Business Analysis
• Systems Analysis
• Requirements Gathering
• Technical Design
• Project Planning
• Experience developing technical solutions based on business requirements.

• Preferred Experience
• Healthcare
• 1+ years in Healthcare Data Management.
• Experience with:
• Medicare Advantage
• Medicaid
• Risk Adjustment Programs
• Encounter Submissions
• Healthcare Regulatory Reporting
• Technical
• 4+ years of experience with:
• SAS
• SQL
• Snowflake
• Business Analysis
• 3+ years of business analysis experience.
• Additional
• Experience modernizing SAS ETL workflows into Snowflake.
• Experience with:
• Snowpark Python
• Automated Data Pipelines
• Cloud Data Platforms
• ASP/ASP.NET experience is a plus.
• Technical Skills
• Data Engineering
• Data Integration
• ETL/ELT Development
• Data Warehousing
• Data Modeling
• Data Quality Frameworks
• Programming
• SAS
• SQL
• Snowflake SQL
• Snowpark Python
• Python
• Healthcare Analytics
• Risk Adjustment
• CMS Data Requirements
• Encounter Data Processing
• Claims Analytics
• Provider Analytics
• Enrollment Management
• Cloud & Modern Data Platforms
• Snowflake
• Cloud Data Architecture
• Pipeline Automation
• Stream Processing
• Workflow Orchestration
• Analysis & Reporting
• Data Validation
• Reconciliation
• Ad-Hoc Reporting
• Trend Analysis
• Financial Impact Analysis
• Preferred Certifications
• SAS Certified Professional
• SAS Certification
• SnowPro Certification

• Core Competencies
• Business Technical Analysis
• Risk Adjustment
• Medicare Advantage
• Medicaid
• Healthcare Analytics
• SAS Programming
• SQL Development
• Snowflake
• Snowpark Python
• Data Engineering
• ETL/ELT
• Data Quality
• Regulatory Compliance
• CMS Reporting
• Technical Documentation
• Stakeholder Management
• System Analysis
• Technical Leadership