Business Analyst

Title: Business Analyst Location: Queens, New York, United States

About Alteva RCM

Alteva RCM is a healthcare revenue cycle management company that partners with medical practices and surgical centers nationwide. We help providers operate more efficiently, strengthen revenue cycle operations, and navigate the complexity of today's healthcare environment.

We serve a wide range of specialties and operate at scale, with technology playing an important role in how we support clients and internal operations.

About the Role

As Alteva grows, more of our work depends on technology and operations teams understanding each other. Billing, dispute resolution, finance, client services, and technology all have different views of the same workflows, and the details often get lost between them.

The Business Analyst is the person who closes that gap. You will work between departments to understand how work is done, gather and document requirements, and make sure that what gets built matches what the business needs. You will partner closely with Product Leadership, the Project Manager, the Technical Lead, developers, and QA, and you will be the main voice of the business in the room when solutions are designed.

This is a hands-on role for someone who is curious about operations, comfortable with ambiguity, and able to turn long conversations into clear, buildable requirements.

What You'll Own

Requirements & Discovery

• Lead discovery with stakeholders across departments through interviews, workshops, and walk-throughs of how work is really done today

• Map current-state and future-state processes, and identify handoffs, manual steps, gaps, and opportunities for automation

• Turn business needs into clear PRDs, functional specifications, user stories with acceptance criteria, business rules, and data requirements

• Ask why before how: separate the real problem from the proposed solution, and help stakeholders prioritize

Cross-Department Alignment

• Act as the main point of contact between operations and technology, so developers understand the business context and operations understand the technical constraints

• Surface conflicting or overlapping requests across departments early, and facilitate decisions

• Keep a clear record of decisions, assumptions, dependencies, and open questions

• Triage and clarify new requests through our intake process before they reach development

Delivery Support

• Work with developers and QA during the build to answer questions, clarify requirements, and review work against acceptance criteria

• Plan and support user acceptance testing: write UAT scenarios, coordinate testers, track defects, and confirm stakeholder sign-off

• Support release readiness and post-release validation to confirm each change delivers the intended outcome

• Partner with the Project Manager on prioritization, sprint planning, and status for the work you have scoped

Data & Documentation

• Analyze operational data using SQL, spreadsheets, and reporting tools to size problems, validate assumptions, and measure results

• Keep requirements, process documentation, and business rules current and easy to find in our project and documentation tools (such as Jira, Confluence, and Notion)

• Use AI tools to speed up documentation, summarization, and analysis, while checking the output for accuracy

• Prepare concise updates for leadership and operational stakeholders

What Success Looks Like

Within the first 90 days, this person should help the team work with fewer surprises and less rework. Specifically:

• Requirements are written down once, clearly, and the whole team refers to them

• Departments know how to submit a request and what to expect next

• Developers and QA get fewer late clarifications and conflicting instructions

• UAT has defined scenarios and clear sign-off before release

• Documentation is current and trusted by operations and technology

What We're Looking For

Required

• 3+ years as a Business Analyst, systems analyst, or similar role in a technology- or operations-heavy environment

• Proven experience gathering requirements from non-technical stakeholders and turning them into specifications developers can build from

• Experience writing user stories, acceptance criteria, functional specifications, and process flows

• Working knowledge of Agile delivery and experience working directly with developers and QA

• Strong written communication, with clear and concise documentation

• Comfortable facilitating conversations across several departments, balancing competing priorities, and building consensus

• Experience with Jira and a documentation tool such as Confluence or Notion

• Working SQL or data analysis skills

• Comfortable in a growing environment where processes are still being defined

Preferred

• Background in healthcare, revenue cycle management, medical billing, claims, or denials and appeals

• Familiarity with independent dispute resolution (IDR) or the No Surprises Act

• Familiarity with healthcare data and transactions such as X12 EDI (270/271, 276/277, 835, 837), or payer portals

• Experience with Salesforce or other enterprise CRM requirements

• Experience with workflow automation, integrations, or API concepts

• Experience with Power BI, Tableau, or similar reporting tools

• Business analysis certification (such as CBAP or PMI-PBA)

• Experience working with distributed or offshore teams