Project Manager (Business Analyst)

Position summary 

We're looking for a Business Analyst (w/ previous product owner experience) to serve as the connective tissue between Medicare claims policy, the data and documents that encode it, and the engineering teams that build against it. You'll be the trusted owner of several HIPAA-driven artifacts that define how Medicare Part A and Part B claims are processed, and you'll be accountable for keeping them accurate, validated, and clearly communicated to both internal teams and external CMS stakeholders.

This role sits at the intersection of subject matter expertise, data stewardship, and product communication. The right person is equal parts meticulous (you can own a complex spreadsheet and defend every cell) and collaborative (you can translate that detail into something a Product Manager, an engineer, or a CMS stakeholder can act on).

What you'll do

• Own HIPAA-compliant source-of-truth artifacts. Serve as the accountable owner for several Excel-based artifacts that govern Medicare claims business rules, edits, code sets, or requirements. Maintain version control, change history, and documentation so these remain authoritative and audit-ready, and handle all content in accordance with HIPAA and CMS data-handling requirements.
• Apply deep Medicare claims expertise. Act as the subject matter expert on CMS Medicare Part A (institutional, hospice, home health) and Part B (professional, outpatient, DME) claims processing, including how claims are edited, and use that expertise to evaluate the downstream impact of every proposed change.
• Validate changes internally. Review and validate proposed updates to the spreadsheets before they go out, confirming they're accurate, internally consistent, and aligned with CMS policy and program requirements. Identify discrepancies, edge cases, and ripple effects early.
• Communicate changes externally. Be responsible for sharing validated changes with external stakeholders, including CMS counterparts, in a clear, well-documented, and timely way. Maintain the narrative around what changed, why, and what it affects.
• Bridge product and engineering. Partner closely with the Product Manager to translate policy and program needs into clear requirements, and work directly with Engineering leadership to ensure those requirements are understood, technically feasible, and implemented faithfully. Surface tradeoffs and risks so decisions get made with the full picture.
• Keep everyone aligned. Facilitate the flow of information across functions—reducing ambiguity, documenting decisions, and ensuring that policy, product, and engineering stay in sync as the work evolves.

Required skills

• Demonstrated subject matter expertise in CMS Medicare claims processing, with hands-on familiarity with Part A and/or Part B claims
• Experience as a Business Analyst, Product Owner, or in a closely related role on a federal program or in a regulated healthcare environment
• Strong, practical command of Excel for managing complex, structured data formulas, validation, change tracking, and keeping large workbooks organized and trustworthy
• A working understanding of HIPAA and the handling of PHI/PII, and a track record of treating sensitive data with appropriate care
• Excellent written and verbal communication skills, with the ability to translate detailed technical or policy content for different audiences—from engineers to senior CMS stakeholders
• Strong attention to detail paired with the judgment to know which details matter most
• Comfort working across functions and acting as a reliable point of coordination between product, engineering, and the client
• Ability to obtain and maintain a CMS Public Trust clearance

Desired skills

• Direct experience working on CMS contracts or with Medicare Administrative Contractors (MACs)
• Familiarity with the Medicare Fee-for-Service (FFS) system
• Experience working within agile delivery teams and writing user stories or acceptance criteria
• Background in requirements management, data governance, or quality assurance in a compliance-driven setting