Consulting Automation Analyst

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Consulting Automation Analyst today with HCA Healthcare.

Job Summary and Qualifications

What makes ITG unique as a technology company is that our solutions ultimately impact the care of patients. Although our skills are needed in a number of industries, we in ITG apply them specifically to the noble cause of healthcare. We are "Healthcare Inspired." It is this guiding vision that pervades and positively influences every level of our organization. It shapes our mission, defines our values, and brings our leaders and employees together in a shared enthusiasm for their work, setting ITG apart as a uniquely purpose-driven company in the IT industry. As a part of that, we exist to Raise the bar, Unlock possibilities, and Care like family.

HCA ITG Consulting Automation Analysts are innovative individuals who use creativity and stakeholder partnerships to deliver business value. Consulting Automation Analysts utilize process and technical expertise and leadership skills to direct staff and resolve issues to ensure automation programs and requirements are met. Consulting Automation Analysts ensure the execution on automation efforts with enterprise interdependencies, size, visibility, and complexity levels and communicate across multiple channels including ITG and Business Operations, to define an initiative’s design and document desired solutions, develop automatons according to best practices and guidelines, and test automations to approved plans.

Consulting Automation Analysts have ownership of their efforts from conception, through the deployment of their products, including turnover to the appropriate technical and user support organizations. As a recognized leader, Consulting Automation Analysts will be sought after to coach and mentor colleagues.

Consulting Automation Analysts also serve as automation and process consultants to other ITG and Business Units. Consulting Automation Analysts use their expansive technical and business expertise to inform decisions around process reengineering, technical feasibility, program management, standards and best practices, and support functions. Consulting Automation Analysts are the face of the Automation Center of Excellence’s programmatic expertise to the rest of HCA.

CORE COMPETENCIES

• Documentation
• Process Improvement/Redesign
• Solution Design
• Communication, Diplomacy and Advocacy
• Testing
• Implementation Knowledge
• Facilitation/Presentation
• Requirements
• Leadership
• Planning

VALUABLE SKILLS

• Technology Evaluation
• Domain Knowledge
• Scripting
• Version Control

SPECIALIST/EMERGING SKILLS

• AI/AIOps
• Machine Learning
• Contract Negotiation/Vendor Relations
• Statistics and Data Science

Major Responsibilities

Serve as a senior business and product analysis resource for healthcare payer interoperability initiatives, supporting products from discovery and requirements definition through implementation and production rollout.

Partner with Product Managers and business stakeholders to understand business objectives, customer needs, regulatory requirements, and interoperability use cases and translate them into actionable product requirements.

Gather, analyze, document, and manage detailed business, functional, data, integration, and non-functional requirements for digital payer interoperability products.

Develop well-defined epics, features, user stories, use cases, acceptance criteria, business rules, process flows, and functional specifications for Agile engineering teams.

Support interoperability products leveraging FHIR, REST APIs, HL7, EDI/X12, and clinical data exchange standards.

Develop a strong understanding of payer interoperability workflows involving members, providers, claims, encounters, eligibility, prior authorization, clinical information, and other healthcare data domains.

Analyze FHIR-based interoperability requirements and collaborate with architects and engineering teams on FHIR resources, profiles, APIs, implementation guides, terminology, mappings, and validation requirements.

Support analysis and implementation of applicable interoperability capabilities such as Patient Access, Provider Access, Payer-to-Payer data exchange, Prior Authorization, and related payer interoperability use cases.

Analyze clinical data exchange requirements, including data sourcing, mapping, transformation, validation, reconciliation, and downstream consumption.

Support healthcare EDI/X12 transaction requirements, including transactions such as 270/271, 276/277, 278, 834, 835, and 837, where applicable.

Perform detailed source-to-target data analysis and mapping across payer platforms, clinical systems, FHIR resources, APIs, EDI transactions, and downstream applications.

Create business process flows, data-flow diagrams, integration workflows, sequence/use-case documentation, and current-state/future-state process models.

Facilitate requirements workshops and working sessions involving business SMEs, Product Owners, architects, developers, QA teams, operations teams, and external partners.

Identify requirement gaps, dependencies, assumptions, risks, and conflicting business rules and drive them toward resolution before development.

Partner with Solution Architects and Engineering teams to ensure business requirements are correctly translated into scalable and reusable technical solutions.

Work closely with QA teams to develop test scenarios, test cases, traceability, and acceptance criteria and support system integration testing and user acceptance testing.

Validate delivered functionality against approved requirements and ensure solutions meet the intended business and customer outcomes.

Support API and integration testing by validating request/response behavior, business rules, data mappings, error conditions, and expected outcomes.

Analyze production issues and interoperability failures by working with engineering and operations teams to identify business, data, mapping, integration, or requirements-related root causes.

Support onboarding of providers, payers, vendors, trading partners, and other external healthcare organizations to interoperability products and services.

Partner with Product Management to maintain and refine the product backlog, ensuring requirements are appropriately prioritized, sufficiently detailed, and ready for engineering teams.

Maintain requirements traceability from regulatory/business requirements through product features, user stories, implementation, testing, and production release.

Analyze regulatory and industry changes affecting payer interoperability and help translate them into business requirements, product impacts, implementation needs, and backlog items.

Collaborate with Compliance, Legal, Security, Privacy, and Product teams to ensure solutions appropriately address HIPAA, PHI, consent, privacy, security, and applicable healthcare regulatory requirements.

Define and analyze product and operational metrics such as API utilization, transaction volumes, success/failure rates, data quality, partner onboarding, processing times, and customer experience.

Identify opportunities to improve and automate business processes and promote standardized, reusable interoperability capabilities rather than one-off integrations.

Provide subject-matter guidance and mentorship to other analysts and contribute to business analysis standards, templates, documentation practices, and delivery best practices.

Communicate requirements, dependencies, risks, decisions, and implementation impacts effectively to both technical and non-technical stakeholders.

What qualifications you will need

Bachelors Degree required, Masters preferred

Seven or more years of experience in a Systems Engineering, Analyst or Developer Required

Licenses, Certifications, & Training

Google cloud provider Preferred

Agile & Scrum master Required

FHIR Required

Knowledge, Skills, Abilities, Behaviors

• Ability to write efficient, easy-to-follow documentation on automation tools, scripts, and processes Required
• Ability to evaluate automation utilizing Six-Sigma principles for improvement opportunities Required
• Understanding of common healthcare EDI transactions such as 270/271, 276/277, 278, 834, 835, and 837 Required
• Hands-on functional or technical understanding of FHIR, HL7, EDI/X12, REST APIs, and healthcare interoperability concepts. Required
• Experience with enterprise cloud platforms such as Google Cloud Platform (GCP) and/or Microsoft Azure is required. Required
• Ability to design, develop, and monitor business and technical processes Required
• Ability to identify, design, and develop creative solutions for practical automation problems during design, scripting, execution or maintenance Required
• Ability to build relationships, communicate effectively both formally and informally, and advocate for automation across the company Required
• Knowledge of testing best practices and skill in implementing them in SDLC Required
• Knowledge of frameworks and software design patterns used for implementing software solutions Required
• Ability to present and facilitate technical ideas while creating alignment among audience of varying disciplines Required
• Ability to determine alignment of new technologies to HCA strategic roadmap Required
• Ability to elicit and gather requirements for automation projects by working directly with internal/external customers Required
• Ability to become a trusted advisor, lead projects and programs, be a catalyst for change, dive collaboration among the automation community, and be a thought leader at HCA Required
• Ability to create project plans, understand dependencies, and drive towards identified milestones Required
• Knowledge of automation landscape, current and future industry offerings, and internal HCA capabilities Required
• Understanding of the HCA technical landscape Required
• Skill in using scripts to execute processes Required
• Skill in utilizing GitHub repositories as code repositories and version control Required
• Extensive depth of knowledge in one or more automation domains Required
• Knowledge of how contracting is handled Required
• Ability to work, make aligned decisions, plan and accomplish goals without explicit direction/guidance from leadership Required
• Knowledge of Artificial Intelligence principles and capabilities and the ability to identify use cases for it Required
• Knowledge of Machine Learning principles and capabilities, and the ability to identify use cases for it Required
• Ability to promote, recommend, and implement improvements to automation frameworks and processes Required
• Ability to teach other team members and other external staff Required
• Ability to design, develop, and monitor KPI, operational metrics, and other relevant automation data Required
• Ability to make decisions based on observed trends in the industry and platform Required
• Ability to perform interviews, evaluate candidates, assist with career path and performance evaluations of team members Preferred
• Knowledge of system architecture Preferred
• Ability to multitask, managing multiple projects and priorities Required
• Ability to be detail oriented and organized Required
• Ability to be adaptable and flexible and to handle ambiguity and changing priorities Required
• Behavior constituting professional demeanor and positive attitude Required

Benefits

HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services

Wellbeing support, including free counseling and referral services

Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence

Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling

Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing

Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

HCA Healthcare has been recognized as one of the Worlds Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"The great hospitals will always put the patient and the patients family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Consulting Automation Analyst opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.