Job Description

About Us:

SpectraMedix is at the forefront of transforming healthcare, empowering health plans and health systems with the tools and insights they need to provide better, more cost-effective care to the communities they serve. Our cutting-edge platform delivers advanced analytics that help organizations excel in the transition to new value-based payment (VBP) models.

By combining advanced technology with a team of seasoned experts, we provide a unique solution tailored to meet the needs of the healthcare industry during this critical phase of value-based care evolution. Our platform is strategically designed to guide health plans, accountable care organizations, and health systems in their journey toward achieving success in value-based payment initiatives.

We are committed to creating an environment where innovation thrives, employees are empowered to drive meaningful change, and every team member plays a key role in reshaping the value and quality equation in healthcare. Our organization’s long-term stability is grounded in this commitment, and we prioritize our employees' growth, well-being, and success as the foundation for a thriving future—both for them and for the communities we serve.

Diversity & Inclusivity

At SpectraMedix, we believe that diversity drives innovation and inclusivity fosters collaboration. We are committed to creating a workplace where everyone feels valued, respected, and empowered to bring their authentic selves to work. We celebrate diverse perspectives and are dedicated to providing equal opportunities for all, regardless of race, gender, age, disability, or background. Join us in building a culture of belonging and mutual respect.

What are we looking for

SpectraMedix is seeking a Senior Healthcare Business Analyst/Data Owner to drive business requirements gathering, data governance, and support value-based care initiatives for healthcare clients. This role focuses on collaborating with cross-functional teams to define data needs, ensuring data accuracy and consistency within the MDM framework, and translating business requirements into actionable data solutions. The position plays a pivotal role in bridging business and technical teams, delivering data-driven insights, and ensuring data assets align with organizational goals to support improved decision-making in value-based care.

Role: Sr Healthcare Business Analyst/Data Owner

Location: East Windsor, New Jersey

Roles & Responsibilities

• Own and manage the lifecycle of critical healthcare data assets, ensuring data quality, consistency, and alignment with business objectives.
• Define and enforce data standards, definitions, and data quality rules across key datasets (clinical, claims, provider, member, etc.).
• Manage and maintain various healthcare taxonomy related code sets under MDM practice.
• Work closely with internal business teams, product managers, and client-facing teams to understand business needs and translate them into data requirements.
• Provide subject matter expertise on value-based care metrics (e.g., HEDIS, Stars, ACO quality measures, cost/utilization metrics, risk adjustment, etc.).
• Develop comprehensive data dictionaries, data flow diagrams, business glossaries, and documentation to ensure clear understanding of data assets across teams.
• Analyze healthcare data using quality measures, HCPCS, ICD, CPT codes, DRG, and other standards.
• Review payer-provider contracts, including reimbursement and value-based care models, to support decision-making.
• Present analysis, findings, insights in relevant internal and external forums.

Required Experience

• Bachelor’s degree in any science related discipline
• 8 - 10 years of experience within the healthcare data analytics industry
• Proficiency in basic SQL is a must.
• Familiarity in defining data governance processes, business glossaries, and data standards.
• Excellent skills in requirements gathering, business process mapping, and documentation.
• Exposure to US healthcare, familiarity with data assets in the population health an managed care space (HEDIS / HCPCS / CPT / FHIR / HL7 data).
• Experience developing statistical models using Python or relevant technologies will be preferred
• Familiarity with the US healthcare system, population health management, managed care and Payer data (e.g., FHIR, HL7, risk adjustment, etc.).

Required Skill Set (Good to Have):

• Exposure/proficiency in Python is an advantage
• Exposure in managing Tableau server is an advantage

Non-Technical / Behavioral competencies required

• Strong verbal and written communication, technical articulation, listening, and presentation skills are essential
• Should have proven analytical and problem-solving skills
• Demonstrated expertise in prioritization, time management, and stakeholder management (both internal and external) is necessary
• Should be a quick learner, self-starter, proactive, and an effective team player
• Must have experience working under tight deadlines within a matrix organizational structure

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