Senior IT Business Analyst - Remote

Req ID: 391072 

NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.

We are currently seeking a Senior IT Business Analyst - Remote to join our team in Plano, Texas (US-TX), United States (US).

Senior IT Business Analyst – Healthcare Interoperability & Authorization

Position Overview

We are seeking an experienced Senior IT Business Analyst with deep expertise in healthcare interoperability, payer operations, and authorization workflows. This role serves as the critical bridge between business stakeholders, healthcare policy, and technical delivery teams.

The Senior IT Business Analyst will translate complex contractual, regulatory, clinical, and business requirements into clear functional specifications and actionable technical requirements. Working closely with data engineering and Databricks development teams, you will help design, validate, and implement healthcare data exchange and analytics solutions while ensuring data quality, regulatory compliance, and alignment with business objectives.

The ideal candidate combines strong business analysis skills with hands-on knowledge of healthcare interoperability standards, EDI/X12 transactions, SQL, authorization processes, and modern data platforms such as Databricks.

Key Responsibilities

Requirements & Business Analysis

• Gather, analyze, and document contractual obligations, regulatory requirements, business rules, policy requirements, and operational needs.
• Translate complex healthcare and payer requirements into clear, actionable business and functional requirements.
• Identify dependencies, gaps, risks, and impacts across business processes and technical solutions.
• Work closely with business, compliance, clinical, and technical stakeholders to ensure requirements are accurately understood and implemented.

Functional Design & Technical Requirements

• Develop detailed functional specifications, process flows, data mappings, and acceptance criteria.
• Translate healthcare business rules and interoperability requirements into technical requirements for development teams.
• Serve as the subject matter expert for healthcare data exchange, interoperability, and authorization-related processes.
• Help ensure solutions comply with applicable CMS interoperability requirements and organizational policies.

Data & Interoperability

• Analyze healthcare data and complex EDI/X12 transactions to identify data relationships, business rules, and quality issues.
• Work with data engineers and developers to translate business logic into optimized SQL and PySpark transformation processes.
• Validate data mappings, transformation logic, payloads, and downstream data products.
• Support analysis and resolution of data quality, integration, and processing issues across the data pipeline.

Testing & Validation

• Define comprehensive test scenarios, test cases, and expected results based on business and technical requirements.
• Validate complex healthcare data payloads and transaction processing.
• Coordinate and support end-to-end testing and User Acceptance Testing (UAT).
• Partner with development and QA teams to identify defects, clarify requirements, and validate fixes.

Agile Delivery

• Work within Scrum or Kanban delivery environments.
• Own and manage Jira epics, features, and user stories through decomposition, refinement, and delivery.
• Collaborate with Product Owners, developers, data engineers, QA teams, and business stakeholders throughout the development lifecycle.

Required Qualifications

Business Analysis & Healthcare

• 10+ years of IT Business Analysis experience, including at least 4 years focused on healthcare interoperability and/or authorization.
• 10+ years of experience working within a health plan/payer environment.
• Strong understanding of healthcare payer operations, particularly authorization workflows and processes.
• Demonstrated ability to translate complex healthcare business and regulatory requirements into functional and technical specifications.

Healthcare Interoperability

• 3+ years of experience with CMS Interoperability requirements and standards.
• Strong understanding of healthcare data exchange and interoperability concepts.
• 3+ years of hands-on experience with EDI/X12 transactions, including:
• 837 – Claims
• 834 – Enrollment
• 835 – Remittance
• 270/271 – Eligibility
• Ability to understand and explain complex X12 structures, including loops, segments, elements, and business rules.

Data & Databricks

• 3+ years of SQL experience, including complex joins, data analysis, reconciliation, and data quality validation across large datasets.
• 1+ year of experience with Databricks or a comparable modern data platform.
• Familiarity with:
• Delta Lake
• Medallion Architecture (Bronze/Silver/Gold)
• Unity Catalog and data governance
• PySpark-based data transformation
• Ability to collaborate effectively with data engineers to translate business requirements and rules into data transformation logic.

Professional Skills

• Strong analytical and problem-solving skills with the ability to work through complex healthcare business and technical requirements.
• Excellent communication skills, with the ability to explain technical concepts to business stakeholders and business requirements to technical teams.
• Ability to bridge the gap between healthcare operations, regulatory requirements, data engineering, and application development.
• Comfortable working independently while collaborating across multiple teams and stakeholders.
• Strong attention to detail, particularly when working with healthcare data, regulatory requirements, and complex transaction structures.
• Proven ability to operate effectively in a fast-paced, Agile delivery environment.

Pay Transparency

Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting pay range for this remote role is $85,085-$118,188. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of factors, including the candidate’s actual work location, relevant experience, technical skills, and other qualifications. 

This position is eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance, short- and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally-required benefits. 

About NTT DATA

NTT DATA is a $30+ billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world’s leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services.  Our consulting and industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is part of NTT Group, which invests over $3 billion each year in R&D.

Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client’s needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com and @talent.nttdataservices.com email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form, https://us.nttdata.com/en/contact-us.

NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here.

#LI-NorthAmerica