Apixio is advancing value-based care delivery with data-driven intelligence and analytics. Our AI-powered Apicare platform gives organizations across the healthcare spectrum the power to mine clinical information at scale, creating meaningful insights that will change the way healthcare is measured, care is delivered, and value is realized.

The promise of value-based care is where healthcare is going, but achieving the goals requires more effort, especially around healthcare data. With issues of data siloed and unstructured data underused, health plans and providers need help to reduce the administrative burden and deliver more meaningful patient care. Apixio is leveraging AI-driven analytics across the healthcare ecosystem and at the point-of-care, where it matters most.

Apixio’s Apicare platform gives organizations actionable insights across their value-based care programs. We have analyzed over 40 million charts and over 1 billion pages of clinical documents to generate a patient phenotype, a longitudinal view of a patient health record that surfaces actionable insights. This translates into better care delivery, improving payer-provider collaboration, and reducing administrative waste. As a result, Apixio is creating a smarter approach to healthcare.

Apixio is looking for a seasoned Business Implementation Analyst to join our Payment Integrity, Implementation organization who possesses a solid technical acumen, is experienced in writing detailed requirements, can groom backlog for sprint readiness, and support project management task. The role will interact with internal stakeholders, subject matter experts (SMEs), and clients to understand and clearly articulate the business need into testable requirements for development.

This role will be responsible for working with clients, implementation managers, business stakeholders and subject matter experts to ensure a clear understanding of the business problem/opportunity. The Business Analyst will identify and document stakeholder requirements and support those requirements through the product development process with the respective Engineering team.

Responsibilities

Capture Business Requirements

• Understand Apixio’s Payment Integrity business, products, data stores, standard and non-standard frameworks and UI functionality
• Through project management of onboarding clients, gather detailed requirements from clients, stakeholders, and understand the impacted systems, components, and/or data
• Drive business value translation and requirement definition for grooming
• Document pertinent technical considerations and detail that aid in solution design and development
• Identifies and manages requirement dependencies between other teams and technology stacks

Support Implementation and Client Onboarding

• Liaise directly with technical leads and engineers to translate and articulate both business and technical requirement details
• Identify the best sources of primary or secondary data to satisfy business requirements
• Work with cross-functional team members from Operations, Product, Data Integration, Analytics, Data Science, Engineering and other areas to ensure requirements meet Definition of Ready (DoR) prior to development
• Collaborates closely with various stakeholders to understand external and internal organizational needs for unstructured data extraction, transformation, and mapping and other data & reporting needs
• Coordinates and validates design approaches with solution architects and agile team members
• Simulates and tests product features and capabilities for usability and alignment with industry standards
• Project management leadership by developing project plans, maintaining project scope through project documentation, and provide regular updates and action items to both client and internal stakeholders

Provide Prioritization

• Identify and document scope and requirement dependencies
• Work with the respective Implementation, Engineering Leaders and team to provide input on prioritization and ordering
• Support sprint planning and execution, ensuring agile team development is in accordance with prioritization of the backlog
• Acts as the authority for all scope and prioritization within the respective agile team backlog
• Identify potential risk to develop mitigation plan for both external and internal facing

Improve Processes

• Assess, quantify, and recommend implementation and product enhancements that improve efficiency and usability
• Identify and analyze data to provide quantitative evaluation of requirements

Demonstrate Initiative and Focus

• Demonstrate ability to adapt in a rapidly changing environment with evolving product capabilities
• Have a high degree of initiative and customer service focus
• Be a results oriented team player

Required Qualifications

• Bachelor's degree with an emphasis on product management, technology, business, related field, or equivalent experience
• 3+ years of experience working with healthcare data, machine learning technologies, and solutions managing backlogs and grooming requirements with agile development teams
• 2+ years of project management experience working within the Payment Integrity product scope, focus on DRG Clinical and Coding Validation and Itemized Bill reviews preferred
• Product development methodology experience and technical knowledge
• Strong communication skills necessary to relay complex requirements to team members and stakeholders
• Strong organizational and planning skills
• Ability to work independently when needed, applying critical thinking and problem solving to achieve a positive outcome.

Preferred Qualifications

• Experience conducting data analysis in SQL and Excel, and a scripting language like Python, R, SAS
• Experience with statistics and data modeling concepts like multivariate regression, segmentation modeling, machine learning, data mining, simulation, optimization, forecasting
• Experience with business intelligence backend and analytics applications