What are the responsibilities and job description for the Clinical Business Analyst position at vTek Systems Inc?
Hiring: Lead Clinical Business Analyst (100% Remote – US)
Looking for a Lead Clinical BA to support CMS-0057-F interoperability mandate focused on improving electronic data exchange and prior authorization workflows.
🔹 Key Requirements:
- 10 years as Business Analyst
- Experience with CMS-0057-F mandate (must have)
- Strong experience in API requirements gathering & documentation
- Experience working with healthcare platforms like GuidingCare, Medecision, Jiva, MCG, or InterQual
🔹 Responsibilities:
- Gather & document requirements for API-driven projects (UM, Patient & Provider Access)
- Work closely with business & technical teams to drive delivery
- Manage user stories and ensure compliance with CMS & BCBSA mandates
💡 Nice to Have: GuidingCare or MCG experience