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Project Manager (Business Analyst)

Navapbc · Remote · 2026-07-20

executiveRemote
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About this role

About Nava

Nava is a consultancy and public benefit corporation working to make government services simple and effective. Since 2015, federal, state, and local agencies have trusted Nava to help solve highly scrutinized technology modernization challenges.

As a client services company, we guide agencies constrained by legacy systems to a future with sharp user experiences built on secure, reliable, fault-tolerant cloud infrastructure. We bill for our time, offering our expertise and problem-solving approach to help our government partners enhance their digital products and services. People are at the heart of our work, from members of the public who rely on benefit programs to government agency staff. Through human-centered design and modern engineering best practices, we help our government partners understand user needs and deliver on their missions more effectively. This focus gives everyone at Nava the opportunity to do work that is meaningful, impactful, and deeply connected to public good.

Position summary

We're looking for a Business Analyst (with 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…

Skills asked for

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