Overview

The Integration Business Analyst will play a key role in supporting the successful development and implementation of integrated health enablement technology solutions. This position will be responsible for requirements gathering, cross-team coordination, and ensuring seamless integration between multiple technology platforms and services. Together with the project lead and multiple workstream teams, you will be responsible for ensuring a smooth design, build and implement process for our risk adjustment solution initiatives.

Responsibilities

Gather, analyze, and document complex business requirements across risk adjustment workflows (prospective, concurrent, retrospective). Translate business needs into detailed functional specifications, user stories, and acceptance criteria for development teams. Conduct stakeholder interviews and workshops to identify integration touchpoints, dependencies, and workflow requirements across multiple platforms. Create and maintain requirements traceability matrices and change control documentation. Analyze current data structures, workflow models, and system architecture to define integration and data model requirements. Facilitate communication and validation sessions across product, engineering, legal, compliance, and operational teams. Lead cross-functional requirements review meetings and support project planning, timelines, and implementation activities. Document as-is and to-be business processes, ensuring alignment with compliance and market requirements. Develop test scenarios and support user acceptance testing to validate solutions. Complete all responsibilities as outlined in the annual performance review and/or goal setting. Complete all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change.

Qualifications

Bachelor’s degree in Business Administration, Information Systems, Healthcare Administration, or related field, plus 8 years’ related experience (or a master’s degree with 6 years’ experience, or equivalent), required. 3-5 years of experience in business analysis, ideally in healthcare technology, risk adjustment, or similar regulatory environments. Advanced certifications such as CBAP, preferred. Experience with complex system integrations, API integrations, cross-platform requirements gathering, and data mapping. Proficiency with requirements management and documentation tools (e.g., JIRA, Azure DevOps, Confluence; preferred: Excel, SQL basics). Strong analytical and problem-solving skills with experience in process mapping, workflow documentation, and data analysis. Knowledge of healthcare data standards (HIPAA, HL7), risk adjustment methodologies, and healthcare technology platforms/integration solutions (preferred). Exceptional communication and interpersonal skills with the ability to facilitate meetings and workshops across diverse business and technical stakeholders. Strong attention to detail, ability to work independently, and capacity to manage multiple priorities in a fast-paced environment. Solid understanding of the software development lifecycle and agile methodologies. Excellent written and verbal communication skills. Cognitive/Mental Requirements Ability to analyze and interpret complex business processes, workflows, and data. Skill in synthesizing information and translating business needs into clear. Strong critical thinking and problem-solving abilities to evaluate options and recommend solutions. Capacity to maintain attention to detail while multiple priorities and deadlines. Proficiency in organizing and presenting information for documentation and stakeholder communication. Ability to facilitate discussions, capture input, and build consensus among stakeholders. Ability to change information, technology, and regulatory requirements. Effective decision-making under time constraints with consideration of business and technical impacts. Clear and effective verbal and written communication of complex concepts. Physical Requirements and Working Conditions Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. Base compensation ranges from $100,00 to $125,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 3/24/2026 Applications are assessed on a rolling basis. We anticipate that the application window will close on 5/24/2026 but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote#LI-MW1#senior