Business Analyst (Clinical Data Analysis Healthcare Payor)

Diverse Lynx is a company focused on technology delivery in the healthcare sector, and they are seeking a Business Analyst to bridge clinical operations and technical delivery on a production Agentic AI platform. The role involves translating complex clinical workflows into clear requirements and ensuring compliance with regulatory standards.

Responsibilities:

• Elicit, document, and validate business and functional requirements from clinical SMEs, operations stakeholders, and technical teams
• Translate prior authorization workflow requirements into clear acceptance criteria for each platform deliverable and agent node
• Maintain the requirements traceability matrix, ensuring all clinical rules, data requirements, and integration specifications are covered in the build
• Define and document UAT test scenarios and acceptance criteria; coordinate UAT execution with Optum clinical and operations stakeholders
• Support AIRB (AI Review Board) preparation by documenting business use cases, clinical decision logic, HITL routing rationale, and explain ability requirements
• Manage and track scope, log change requests, assess impact, and coordinate change order documentation with the project manager
• Produce sprint-level release notes, stakeholder status updates, and business-facing documentation throughout delivery
• Act as the primary liaison between clinical SMEs and the engineering team to resolve requirement ambiguities quickly

Requirements:

• 5+ years business analysis experience on technology delivery engagements; healthcare sector experience preferred
• Requirements management: elicitation, documentation, traceability, and sign-off in agile delivery environments
• Healthcare domain knowledge: prior authorization, utilization management, clinical workflows, or health plan operations
• Strong UAT coordination: scenario design, defect triage, and formal sign-off facilitation with business stakeholders
• Experience producing documentation for AI governance, regulatory review, or compliance processes
• Excellent written communication — able to produce concise, unambiguous requirements, process flows, and executive-facing status reports
• Familiarity with clinical coding systems (CPT, ICD-10, RxNorm) and prior authorization decision criteria
• Experience with Rally, JIRA, Confluence, or equivalent agile tools
• Exposure to AI, LLM, or automated decision-making platform projects