Sr. Healthcare Business Analyst​/Quality

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Engineering Shared Services Full Time US

ELLKAY started out providing connectivity solutions to laboratories and within a few years, grew to also provide data management solutions to ambulatory organizations. ELLKAY is now a trusted data management partner in five healthcare segments. ELLKAY’s solutions continue to serve laboratories and ambulatory practices and have expanded to empower hospitals and health systems, healthcare IT vendors, ambulatory practices, health plans, and other healthcare organizations with cutting-edge technologies and solutions that drive their growth and interoperability strategies.

Today, ELLKAY remains true to our core values, building strong partner relationships and offering unparalleled service and support while providing innovative, scalable solutions to the challenges our customers face in today’s data-rich world. ELLKAY's experience, customer-focused approach, and reputation for innovation, speed, and accuracy differentiate ELLKAY as a premier partner for your interoperability needs and data management strategy.

Job Description:

The Senior Healthcare Business and Quality Analyst is the primary requirements and domain-analysis partner for Quality Engineering. The role translates product intent, healthcare operations, regulations, and data behavior into clear, testable requirements and serves as a subject-matter reference for QA. Its emphasis is business analysis and domain accuracy rather than test execution ownership.

Key responsibilities

• Elicit, analyze, document, and validate business, functional, data, integration, reporting, and regulatory requirements for healthcare products and programs.
• Serve as the bridge among product management, operations, clinical or healthcare SMEs, engineering, data teams, and QA; translate business intent into language each group can act on.
• Develop process flows, use cases, decision tables, business rules, data definitions, interface expectations, acceptance criteria, and end-to-end scenario models.
• Assess requirements for clarity, completeness, consistency, feasibility, traceability, and testability; surface conflicts, missing decisions, and edge cases early.
• Provide QA with domain context, expected outcomes, priority scenarios, healthcare terminology, operational exceptions, and risk-based coverage guidance.
• Analyze workflows and data across claims, benefits, eligibility, enrollment, member and provider management, authorizations, clinical exchanges, billing, payments, pharmacy, or related healthcare functions.
• Interpret healthcare formats and standards such as HL7, FHIR, X12 EDI, code sets, and payer or provider data exchanges sufficiently to validate business meaning and mapping intent.
• Maintain end-to-end traceability from business objectives and regulatory obligations through requirements, acceptance criteria, QA coverage, defects, and release decisions.
• Facilitate requirement reviews, story refinement, three-amigo sessions, defect triage, UAT planning, and business sign-off; distinguish requirement gaps, configuration issues, data-quality problems, workflow misunderstandings, and software failures.
• Support UAT by preparing business scenarios, coordinating participants, clarifying expected results, and synthesizing findings for product and QA leadership.
• Monitor healthcare policy, contractual, and operational changes; perform impact analysis and advise teams on affected workflows, data, and validation needs.

Required qualifications

• Bachelor's degree in business, healthcare administration, information systems, public health, or a related discipline, or equivalent practical experience.
• Typically 6+ years in business or systems analysis, including deep experience with healthcare products, operations, data, or interoperability.
• Demonstrated ability to create precise requirements, acceptance criteria, process models, business rules, and traceability artifacts in Agile delivery environments.
• Strong knowledge of at least two healthcare domains, such as claims, eligibility and enrollment, benefits, provider, clinical, utilization management, pharmacy, or payment integrity.
• Understanding of software quality practices sufficient to make requirements testable, guide coverage, and evaluate business impact without assuming the role of primary test engineer.
• Excellent facilitation,…