Senior Business Analyst

DOMA Technologies is focused on data-centric transformation in healthcare. The Senior Business Analyst will lead requirements management and business process transformation for a case management system, ensuring that business needs are aligned with CMS priorities.

Responsibilities:

• Lead requirements management, business process transformation, and stakeholder engagement activities for a case management system supporting the Centers for Medicare & Medicaid Services
• Guide junior analysts, influence solution design, and ensure end-to-end traceability from requirements through implementation and operations
• Lead complex requirements elicitation across multiple CMS stakeholders and business units
• Define enterprise-level functional and non-functional requirements
• Establish and enforce requirements management standards and best practices
• Ensure full traceability (RTM) from requirements through testing and deployment
• Support audit readiness and compliance reviews
• Establish documentation standards and governance processes
• Lead analysis and redesign of end-to-end case management workflows: Intake & eligibility, Case assignment & triage case lifecycle management, and Reporting & outcomes tracking
• Identify optimization opportunities and drive process reengineering initiatives
• Align workflows with CMS regulatory and operational goals
• Define enterprise data requirements and governance approaches
• Collaborate with architects and engineers on data models, APIs, and reporting frameworks
• Partner with Product Owners to define and prioritize strategic backlog items
• Serve as primary interface between CMS leadership, business users, and technical teams
• Facilitate workshops, briefings, and solution reviews
• Translate complex technical concepts into clear business language

Requirements:

• Bachelor's degree in business, healthcare, IT, or related field
• 8–12+ years of Business Analysis experience
• 3+ years supporting federal healthcare programs (CMS strongly preferred)
• Proven experience leading large-scale case management or healthcare IT implementations
• Strong experience in Agile delivery environments
• Advanced requirements elicitation and facilitation
• Business process modeling and reengineering (BPMN, workflow design)
• Data analysis, mapping, and governance
• Strong leadership, communication, and stakeholder management
• Expertise with tools such as Jira, Confluence, Azure DevOps
• Direct experience supporting CMS initiatives
• Experience with healthcare data formats (CDA, HL7, FHIR)
• Agile certifications (e.g., SAFe, Scrum) certifications