Senior Business Analyst

At Commence were the start of a new age of data-centric transformation elevating health outcomes and powering better more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers technology that advances performance and clinical expertise that builds trust to create a more efficient path to quality care.

With human-centered healthcare-relevant and value-based solutions we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose straightforward communication and clinical domain expertise Commence cuts straight to better care.

The Senior Business Analyst will lead requirements management business process transformation and stakeholder engagement activities for a case management system supporting the Centers for Medicare & Medicaid Services. This role serves as a strategic advisor and functional lead ensuring that business needs are translated into scalable compliant and interoperable solutions aligned with CMS priorities.

• The Sr. BA will 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

Qualifications

• Bachelors degree in business healthcare IT or related field
• 812 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

Preferred Qualifications

• Experience with healthcare data formats (CDA HL7 FHIR)
• Agile certifications (e.g. SAFe Scrum) certifications

Work Environment/Physical Demands

The work environment and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This is a remote position. While performing the duties of this job the employee regularly works in a climate-controlled environment. Candidates must be able to sit read work on a computer and watch a computer screen for extended periods of time. Occasionally required to stand walk use hands and fingers kneel or crouch.

Commence is an equal employment opportunity for employer. All personnel processes are merit-based and applied without discrimination on the basis of race color religion sex sexual orientation gender identity marital status age disability national or ethnic origin military and veteran status or any other characteristic protected by applicable law.

is committed to providing equal employment opportunities to all applicants including individuals with disabilities. If you require reasonable accommodation to participate in the application process due to a disability please contact Human Resources at or Please note that unless you are requesting an accommodation all applications must be submitted through our online application system.