Functional Lead - Healthcare Data Systems
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Overview
Job Description
Analytica is seeking a Functional Lead to support a mission-critical CMS application that enables the Center for Medicare’s rate-setting activities through the collection, validation, and processing of market-based data. The Functional Lead will play a key role in ensuring that system functionality accurately reflects Medicare payment policy across the Clinical Laboratory Fee Schedule (CLFS), Average Sales Price (ASP), and Ground Ambulance Data Collection System (GADCS) domains.
This role requires strong expertise in federal healthcare systems, data validation, and business rules management, along with the ability to translate complex policy and operational requirements into scalable, compliant system functionality. The Functional Lead will support both ongoing operations and modernization initiatives within a secure, FISMA-compliant AWS cloud environment. This role is primarily remote but requires 1x a week onsite attendance at our Bethesda, MD headquarters
Analytica has been recognized by Inc. Magazine as one of the fastest-growing 250 businesses in the US for 3 years. We work with U.S. government clients in health, civilian, and national security missions to build better technology products that impact our day-to-day lives. The company offers competitive compensation with opportunities for bonuses, employer-paid health care, training and development funds, and 401k match.
Responsibilities include (but not limited to):
- Serve as the primary liaison between CMS business stakeholders and the technical delivery team.
- Translate Medicare payment policy and operational requirements into clear, actionable, and testable system requirements.
- Define, document, and govern business rules and data validation logic across CLFS, ASP, and GADCS modules.
- Ensure end-to-end traceability from policy through system implementation, testing, and deployment.
- Lead functional testing and User Acceptance Testing (UAT), including development and validation of test cases.
- Support incident triage and data validation efforts to maintain system accuracy and integrity.
- Approve system releases from a functional and business perspective.
- Collaborate with UX, engineering, and data subject matter experts to improve usability while maintaining compliance and accuracy.
- Support modernization initiatives aimed at enhancing validation logic, improving user experience, and reducing reporting burden.
- Facilitate stakeholder workshops and requirements gathering sessions.
- Ensure adherence to FISMA, ATO, and other federal compliance and data governance standards.
Basic Qualifications:
- Bachelor’s degree in Healthcare, Business, Information Technology, or related field.
- 8+ years of experience in federal health IT or large-scale data systems.
- Demonstrated experience supporting Medicare Fee-for-Service programs (CLFS, ASP, or similar payment systems).
- Experience supporting CMS or federal healthcare programs.
- Proven ability to translate policy and business requirements into system functionality.
- Strong expertise in data validation, business rules management, and functional/UAT testing.
- Hands-on experience with requirements management and backlog tools (e.g., Jira, Azure DevOps).
- Proficiency in SQL and advanced Excel for data analysis.
- Experience working in Agile delivery environments.
- Ability to lead stakeholder engagement and requirements workshops.
- Strong written and verbal communication skills, including development of functional specifications.
- Experience working in secure, compliance-driven environments (FISMA/ATO).
- Must be a U.S. Citizen.
- Must be able to obtain and maintain a Public Trust clearance.
Preferred:
- Familiarity with AWS cloud environments.
- Experience with large-scale data collection or regulatory reporting systems.
- Background in data analytics, reporting, or data engineering environments.
Analytica LLC is an Equal Opportunity Employer. We are committed to providing equal employment opportunities to all individuals, regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other characteristic protected by applicable federal, state, or local law. As a federal contractor, we comply with the Vietnam Era Veterans' Readjustment Assistance Act (VEVRAA) and take affirmative action to employ and advance in employment qualified protected veterans. We ensure that all employment decisions are based on merit, qualifications, and business needs. We prohibit discrimination and harassment of any kind. Analytica LLC also provides reasonable accommodations to applicants and employees with disabilities, in accordance with applicable law.
To enhance efficiency, fairness, and accuracy, Analytica may use AI-assisted tools to support certain aspects of our hiring process.
- Application Review: AI tools may help identify skills and experiences relevant to the role.
- Interview Support: AI-powered notetaking tools may be used during interviews to document discussions and summarize key points.
These tools are used to assist our team. All hiring decisions are made by Analytica recruiters and hiring managers.
By submitting an application, you acknowledge that AI-assisted tools may be used to support parts of the application and interview process.
When receiving email communication from Analytica, please ensure that the email domain is analytica.net to verify its authenticity.
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