Sr Business Analyst

The Senior Business Analyst leads the Business Support Team — the policy, requirements, analytics, and documentation engine of the FFSDCS contract. The role exists because the FFSDCS supports three distinct Medicare Part B payment programs (Average Sales Price, Clinical Laboratory Fee Schedule, and the new Ambulance Fee Schedule data collection under BBA 2018 §50203(b)), each with its own statute, rule making cadence, stakeholder community, certification workflow, and analytic output.

No single person can hold all of that depth. The Senior BA orchestrates four fractional Subject Matter Experts to cover the policy surface area, two analysts to produce the data outputs CMS pays this contract to deliver, and a working rhythm that keeps the BST producing predictably even when ASP, CLFS, and Ambulance reporting peaks collide.

The Senior BA is the operational lieutenant to the Functional Lead, the business-side peer to the Lead Technical Developer, and the originator of nearly every artifact CMS receives from this contract that is not infrastructure or code. They sit on the Core Central Team and represent the BST to the COR, the Business Owner, the Business Owner Representative, and — where appropriate — directly to the stakeholder reporter community.

• Directly supervise the six-person BST: four fractional SMEs (Part B, Ground Ambulance, CLFS, and the fourth SME slot once finalized), the Senior Data Analyst, and the BI/Reports Analyst.
• Manage capacity across the four 0.5-FTE SMEs whose availability must flex to match three independent reporting cycles: ASP quarterly, CLFS quarterly with a major reporting period every three years (next Jan–Mar 2020), and Ambulance annual beginning January 2021.
• Build and own the BST operating rhythm: weekly intake triage, sprint or work-cycle planning aligned to the Systems Team, monthly capacity forecast, and proactive surge planning before each reporting peak.
• Develop the BST staff: performance management, individual development plans, succession planning for the fractional SME pool, and knowledge transfer to reduce single-person dependencies.
• Recruit and onboard BST staff in partnership with the Project Manager and Contracts; ensure all BST staff clear the OCI screening required by Q&A #9 prior to data access.

• Match the right SME to the right policy question, requirement, defect, or change request — including for cross-cutting issues where two SMEs must collaborate.
• Own a unified policy knowledge base spanning Section 1847A (ASP), PAMA 2014 (CLFS), and BBA 2018 §50203(b) (Ambulance); maintain it as authoritative reference for the Systems Team, Customer Support Team, and CMS.
• Translate SME tacit knowledge into reusable artifacts: business rules registry, decision logs, policy interpretation memos, edge-case catalogs, and a controlled business glossary.
• Monitor the annual CMS Physician Fee Schedule rule making cycle and other CMS regulatory channels; drive early SME assessment of operational impact before each Proposed Rule comment closes.
• Mediate SME disagreements when policy interpretations conflict; escape unresolved policy ambiguity to the Functional Lead and Business Owner with a documented options analysis.

• Run the day-to-day requirements pipeline: intake, triage, prioritization, elaboration, traceability, and closeout. The Functional Lead owns the SRD/RTM at the contract baseline; the Senior BA executes the work that keeps both current.
• Lead requirements elicitation for the Ambulance Module against the final CMS survey instrument; design and validate the screener-driven skip-logic patterns described in Q&A #6 (e.g., emergency-only vs. non-emergency-only, ground vs. air ambulance subsets).
• Manage change requests originating from CMS, annual rule making, helpdesk escalations (Customer Support Team), and internal quality findings; run the impact analysis with the appropriate SME and the Lead Technical Developer.
• Lead User Acceptance Testing planning and execution across all three modules; staff UAT cycles with SMEs and analysts; certify UAT exit to…