Senior Technical Business Analyst Healthcare Operations

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Miami, FL 33146, USA

• Remote
• Pay or shift range: $110,000 USD to $120,000 USD The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons.
• Analyst
• Full-Time
• Requisition #: SENIO
  001077

Company Overview: Emboss Specialty partners with health plans to simplify specialty care delivery, improve clinical and financial performance, and create a better experience for members, providers, and clients.

Emboss Specialty is a value-based specialty management company that operates like a health plan within a health plan. We help plans improve performance across specialty care and therapeutics management through provider engagement, clinical expertise, and operational excellence, delivering better outcomes, regulatory confidence, and savings of up to 30%.

Position Summary

The hardest part of a technical project is often not the development work itself — it is making sure the team is solving the right business problem. In this role, you will connect complex healthcare and operational challenges with technical teams and help keep delivery focused on the outcomes that matter most.

Success in this role requires a strong understanding of specialty healthcare operations, paired with the technical fluency to bridge business and technology teams effectively. You will need to be a clear, credible, and influential voice across business, technical, client, and operational audiences — someone who naturally wants to understand the “why” behind every detail.

Essential Duties and Responsibilities

• Partner with stakeholders and clients to identify opportunities for improvement, document business requirements, and translate those needs, in partnership with technology leads, into product features, workflows, and solution designs.
• Drive change and innovation across the company by improving existing processes and creating new ways to solve business challenges. Incremental improvement matters; transformation that creates measurable impact matters even more.
• Develop deep expertise in claims handling, utilization management, prior authorization, benefits implementation, and related workflows across multiple business units. You’ll become the expert on how things really get done — and how they should get done.
• Document current and future operational and technical processes for different audiences, creating shared understanding and alignment across business, technology, and client teams.
• Keep teams focused on the highest-value problems by separating what matters from distractions that can derail timelines and dilute impact.
• Organize client needs into patterns, rules, and configurable solutions that support flexibility without creating unnecessary custom work.
• Improve the experience for internal and external system users by understanding their personas, workflows, and pain points; translating those needs into clear user stories; and validating the delivered capabilities work as intended and actually simplify the user experience.

Why This Role Matters

Specialty healthcare is complex, but the experience for providers and patients should not be. This role helps turn operational complexity into clear priorities, practical requirements, and technical solutions that teams can actually build and users can actually use.

When this work is done well, teams solve the right problems, delivery stays focused, and systems become easier to use. That creates measurable value for the business while making healthcare easier and more understandable for everyone.

Qualifications

• 7+ years of healthcare experience, with significant exposure to…