Who We Are:
At the intersection of health plans and providers, Apixio is creating a leading Connected Care platform to minimize reimbursement inaccuracies and high-quality patient care so they can thrive as the industry moves toward value-based reimbursement models.
The combination brings together healthcare expertise, AI/machine learning technology and data-driven analytics solutions to deliver innovative solutions and value to our customers and the healthcare ecosystem. We aim to accelerate the shift toward alternative payment models, while enhancing efficiency and supporting better patient outcomes.
About the role:
Apixio is seeking an experienced Business Implementation Analyst to join our Payment Integrity Implementation team. The ideal candidate will have strong technical expertise, proven experience in writing detailed requirements, and the ability to groom backlogs for sprint readiness while supporting project management tasks. This role requires close collaboration with internal stakeholders, subject matter experts (SMEs), and clients to accurately translate business needs into clear, testable requirements for development.
Responsibilities:Capture Business Requirements
- Understand Apixio’s Payment Integrity business, products, data stores, standard and non-standard frameworks and UI functionality
- Through project management of onboarding clients, gather detailed requirements from clients, stakeholders, and understand the impacted systems, components, and/or data
- Drive business value translation and requirement definition for grooming
- Document pertinent technical considerations and detail that aid in solution design and development
- Identifies and manages requirement dependencies between other teams and technology stacks
Support Implementation and Client Onboarding
- Liaise directly with technical leads and engineers to translate and articulate both business and technical requirement details
- Identify the best sources of primary or secondary data to satisfy business requirements
- Work with cross-functional team members from Operations, Product, Data Integration, Analytics, Data Science, Engineering and other areas to ensure requirements meet Definition of Ready (DoR) prior to development
- Collaborates closely with various stakeholders to understand external and internal organizational needs for unstructured data extraction, transformation, and mapping and other data & reporting needs
- Coordinates and validates design approaches with solution architects and agile team members
- Simulates and tests product features and capabilities for usability and alignment with industry standards
- Project management leadership by developing project plans, maintaining project scope through project documentation, and provide regular updates and action items to both client and internal stakeholders
Provide Prioritization
- Identify and document scope and requirement dependencies
- Work with the respective Implementation, Engineering Leaders and team to provide input on prioritization and ordering
- Support sprint planning and execution, ensuring agile team development is in accordance with prioritization of the backlog
- Acts as the authority for all scope and prioritization within the respective agile team backlog
- Identify potential risk to develop mitigation plan for both external and internal facing
Improve Processes
- Assess, quantify, and recommend implementation and product enhancements that improve efficiency and usability
- Identify and analyze data to provide quantitative evaluation of requirements
Demonstrate Initiative and Focus
- Demonstrate ability to adapt in a rapidly changing environment with evolving product capabilities
- Have a high degree of initiative and customer service focus
- Be a results oriented team player
Required Qualifications:
- Bachelor's degree with an emphasis on product management, technology, business, related field, or equivalent experience
- 3+ years of experience working with healthcare data, machine learning technologies, and solutions managing backlogs and grooming requirements with agile development teams
- 2+ years of project management experience working within the Payment Integrity product scope, focus on DRG Clinical and Coding Validation and Itemized Bill reviews preferred
- Product development methodology experience and technical knowledge
- Strong communication skills necessary to relay complex requirements to team members and stakeholders
- Strong organizational and planning skills
- Ability to work independently when needed, applying critical thinking and problem solving to achieve a positive outcome.
Preferred Qualifications:
- Experience conducting data analysis in SQL and Excel, and a scripting language like Python, R, SAS
- Experience with statistics and data modeling concepts like multivariate regression, segmentation modeling, machine learning, data mining, simulation, optimization, forecasting
- Experience with business intelligence backend and analytics applications
The salary range below is for Base Salary. Total compensation also includes benefits and variable compensation. Compensation will be determined based on several factors including, but not limited to, skill set, years of experience, and the employee’s geographic location.
Base Compensation
$90,000—$130,000 USD
We recognize that people come with experience and talent beyond just the technical requirements of a job. If your experience is close to what you see listed here, please consider applying. Diversity of experience and skills combined with passion is a key to innovation and excellence. Therefore, we encourage people from all backgrounds to apply to our positions. Your skills and background may be more translatable to this role than you initially thought. Allow us the opportunity to get to know you. Please let us know if you require accommodations during the interview process.
What Apixio can offer you:
- Meaningful work to advance healthcare
- Competitive compensation
- Exceptional benefits, including medical, dental and vision, FSA
- 401k with company matching up to 4%
- Generous vacation policy
- Remote-first & hybrid work philosophies
- A hybrid work schedule (2 days in office & 3 days work from home) (Note: If the position is designated as REMOTE it will stay REMOTE)
- Modern open office in beautiful San Mateo, CA; Los Angeles, CA; San Diego, CA; Austin, TX and Dallas, TX
- Subsidized gym membership
- Catered, free lunches
- Parties, picnics, and wine-downs
- Free parking
We take your privacy very seriously. Please review our privacy policy to see exactly how we protect your information here
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.
Notice to Recruiters/Staffing Agencies
- Recruiters and staffing agencies should not contact Apixio through this page. All recruitment vendors (search firms, recruitment agencies, and staffing companies) are prohibited from contacting our hiring manager(s), executive team members, or employees
- We require that all recruiters and staffing agencies have a fully executed, formal written agreement on file
- Apixio receipt or acceptance of an unsolicited resume submitted by a vendor organization to this website or employee does not constitute an actual or implied contract between Apixio and such organization and will be considered unsolicited and Apixio will not be responsible for related fees
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What We Do
Apixio is the Connected Care Platform at the intersection of health plans and providers. Our AI technology and flexible services power risk adjustment, payment integrity, and care delivery programs using centralized patient health profiles, data-driven insights, and seamless workflows. With Apixio, healthcare organizations can streamline operations, ensure accurate payment, and uncover critical patient insights—building a resilient foundation for success as the industry moves toward value-based reimbursement models.
At Apixio, we strive for excellence in everything we do and understand that success is not built overnight but is the collective effort of smart people asking the right questions, taking calculated risks, and delivering innovative industry-leading solutions.
Apixion’s are motivated, resourceful, intelligent, and scrappy trouble-shooters who work hard, play hard, and are committed to making an impact in our industry and in our communities. Our team is dedicated to hiring quality candidates of diverse backgrounds who can share their ideas and experience to create a holistic client and employee experience that is respectful of our company mission, and reflective of the individual talents that each Apixion brings with them. With Apixio you can expect the best because we are passionate and committed to delivering the best. We celebrate each success, big or small, and aim to help each Apixion reach their full potential.
At Apixio, our culture is one that encourages diversity and looks to expand it constantly. Our employees make our inclusive culture what it is and we provide the tools and resources they need to feel empowered and supported. Apixion’s don’t just talk the talk, they walk the walk with our employee ran groups that focus on diversity and inclusion, community give back, and professional and personal growth.
Why Work With Us
Smart people who are passionate about making an impact yet we leave our egos at the door
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