Senior Business Analyst

At Commence, we’re 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.

Requirements

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

• 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

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.

Commence.AI 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 (757) 306-4920 or [email protected]. Please note that unless you are requesting an accommodation, all applications must be submitted through our online application system.