Partner Discovery & Requirements Analysis

• Lead and document working sessions with clinical, finance, operations, product, and technical stakeholders to understand existing workflows, business rules, data requirements, and operational processes.
• Translate manual and system-supported workflows into structured business and functional requirements.
• Produce gap-analysis documentation mapping current-state processes and partner requirements to existing platform capabilities.
• Classify requirements based on appropriate disposition, such as existing functionality, configuration, new development, acceptable operational workaround, shared platform enhancement, or out of scope.
• Maintain a consistent backlog structure across implementations so requirements remain comparable, traceable, and reusable.

System Reconciliation & Technical Analysis

• Analyze application logic, SQL, stored procedures, configuration parameters, integrations, and data flows to understand existing system behavior.
• Determine whether business requirements can be satisfied through configuration, existing functionality, process changes, or new development.
• Validate assumptions about platform behavior against available technical evidence and distinguish confirmed system behavior from inferred behavior.
• Identify discrepancies between documented behavior, stakeholder expectations, system configuration, and implemented logic.
• Trace business rules to underlying parameters, data elements, calculations, integrations, and system components.
• Identify where behaviors are configurable versus hardcoded and assess the impact on future implementations.

Requirements Authoring

• Write clear business and functional requirements, user stories, acceptance criteria, assumptions, dependencies, open questions, and proposed workarounds.
• Maintain appropriate separation between business-facing requirements and technical implementation details.
• Ensure acceptance criteria reflect the agreed solution approach, including configuration changes, operational workarounds, or new functionality.
• Apply a consistent standard for distinguishing standalone requirements from assumptions, configuration decisions, implementation details, or operational procedures.
• Maintain traceability from business need through solution decision and development implementation.

Cross-Functional Facilitation & Governance

• Facilitate requirements, solutioning, and review sessions across business, clinical, product, engineering, data, and operational teams.
• Drive open questions toward resolution and update requirements and documentation to reflect confirmed decisions.
• Identify ambiguity, conflicting requirements, downstream impacts, and cross-feature dependencies before development begins.
• Prevent scope drift and ensure implementation-specific requirements do not unintentionally become platform-wide requirements.
• Support prioritization and decision-making by clearly communicating business impact, implementation complexity, dependencies, and risk.

Ticket Creation & Scoping

• Translate approved requirements into development-ready tickets containing problem statements, user stories, functional scope, acceptance criteria, dependencies, assumptions, and open questions.
• Partner with engineering and architecture teams to clarify technical scope and implementation approach.
• Track dependencies across features, integrations, implementations, and shared platform capabilities.
• Identify common capabilities that can support multiple clients, workflows, or future implementations rather than creating one-off solutions.

Requirements

• 8+ years of experience as a Business Analyst, Technical Product Manager, Product Owner, or equivalent role in a software-, data-, or technology-driven environment.
• Experience working within healthcare technology, healthcare operations, payer/provider systems, pharmacy, claims, revenue cycle, eligibility, or related healthcare domains.
• Ability to understand and reason about SQL, data structures, system logic, APIs, configuration, and technical workflows well enough to validate platform behavior and collaborate effectively with engineering teams.
• Demonstrated ability to write clear requirements, user stories, acceptance criteria, and development tickets that engineering teams can implement with minimal rework.
• Strong analytical rigor with the ability to distinguish confirmed facts from assumptions, challenge unclear reasoning, and validate conclusions.
• Experience facilitating requirements and solution-review sessions involving business, clinical, operational, and technical stakeholders.
• Strong written and verbal communication skills, with the ability to adapt business and technical information for different audiences.

Preferred Qualifications

• Familiarity with healthcare claims, eligibility, reimbursement, clinical workflows, pharmacy operations, or healthcare financial processes.
• Experience working with configurable or rules-driven healthcare platforms.
• Experience supporting client, provider, health system, or partner implementations.
• Understanding of data pipelines, ETL processes, APIs, healthcare integrations, and data exchange concepts.
• Experience managing a shared product backlog across multiple customers, implementations, or business units.
• Familiarity with healthcare data standards, regulatory requirements, or privacy considerations such as HIPAA.

Key Competencies

• Requirements elicitation and translation
• Healthcare workflow analysis
• Technical and data analysis
• System behavior reconciliation
• Product and backlog management
• Stakeholder facilitation and decision-driving
• Cross-functional collaboration
• Analytical rigor and structured problem-solving
• Dependency and impact analysis
• Documentation discipline and traceability