About Autonomize AI

Role Overview

Key Responsibilities

Discovery & Requirements

• Lead customer and internal discovery sessions to understand business objectives, workflows, pain points, business rules, exceptions, and success criteria.
• Translate findings into clear BRDs, requirements, user stories, acceptance criteria, current/future-state workflows, and solution mockups that communicate the intended experience to customers and technical teams.
• Document the client applications involved in each workflow, including what is read or written, and produce field-level data mappings to hand off to Solution Architects for integration design.
• Decompose complex healthcare processes (including areas such as UM, Prior Authorization, Appeals & Grievances, Care Management, claims, and clinical workflows) into clear, automatable steps.
• Work with Clinical SMEs to validate clinical rules, criteria, and edge cases on clinical use cases.
• Create process maps using tools such as Mural, Lucidchart, Visio, or similar platforms and drive open questions and requirements through resolution.

AI & Technical Fluency

• Identify where rules, automation, and AI can each improve a workflow, and propose human-in-the-loop steps where judgment or review is needed, working with Solution Architects to finalize the approach. Understand concepts such as LLMs, OCR, RAG, extraction, and classification.
• Use various AI and LLM tools to accelerate analysis, documentation, workflow design, and other day-to-day work.
• Understand technical concepts such as APIs, SFTP/file exchange, integrations, and data flows well enough to collaborate effectively with Solution Architects, Engineering, and AI/ML teams.

Execution & Ownership

• Work with Project Managers and Solution Architects to move solutions from discovery into implementation.
• Translate requirements into well-structured Jira tickets and recommend priorities based on business value, customer needs, dependencies, and project objectives.
• Define KPIs and success criteria for each workflow.
• Partner with QA to draft the test strategy and test cases, making sure everything in the BRD is covered, and support UAT and release readiness.
• Own your work end to end: surface gaps early, follow through on open questions, keep requirements current, flag requirement changes or scope creep so they can go through change control, and ensure stakeholders remain aligned.
• Handle client data responsibly in line with HIPAA and internal data-handling policies, using de-identified or synthetic data in requirements, mockups, and other artifacts.

Customer & Communication

• Lead and participate in customer meetings with both business and technical stakeholders, communicating complex concepts clearly and confidently.
• Produce polished, customer-ready documentation and effectively prepare deliverables for client sign-off.
• Manage multiple customer workstreams, meetings, requirements, decisions, and follow-ups in a fast-moving environment.

Must-Have Qualifications

• 2-5 years of relevant professional experience in healthcare business analysis, consulting, healthtech, healthcare operations, implementation, health informatics, solutions analysis, or a related role.
• Strong knowledge of healthcare operations and direct experience working on payer processes and translating them into clear BRDs for technical teams.
• Working knowledge of HIPAA and safe handling of PHI in a healthcare setting.
• Experience gathering requirements and creating BRDs, workflows, business rules, user stories, acceptance criteria, or similar artifacts.
• Experience designing current-state and future-state workflows using process-mapping tools.
• Strong client-facing, written, and verbal communication skills.
• Familiarity with Jira and translating business requirements into development work.
• Practical experience using AI tools in professional work and curiosity about new ways to apply AI and automation.
• Strong organization, attention to detail, and ability to manage multiple priorities.
• A strong sense of ownership and structured curiosity - you ask the right questions, uncover what is missing, and drive ambiguity toward clarity.
• Comfort working in a growing organization where priorities evolve and processes are continuously improved

Bonus Points

• Direct experience with UM, Prior Authorization, Appeals & Grievances, Care Management, claims, clinical documentation, or related healthcare workflows.
• Experience with AI-enabled healthcare solutions, including OCR, RAG, extraction, classification, or document understanding.
• Familiarity with FHIR/HL7, X12, or clinical terminology such as ICD-10, CPT, or SNOMED.
• Background in healthcare consulting, implementation, or customer-facing healthtech delivery.
• Experience building mockups or prototypes with AI tools.
• Experience designing human-in-the-loop AI workflows in a production setting.