Business Systems Analyst Senior - Remote

Our work matters. We help people get the medicine they need to feel better and live well.  We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Business Systems Analyst Senior - Remote

Job Description

The Business Systems Analyst Sr is responsible for serving as a key role solving highly complex system problems which require the regular use of ingenuity and innovation, utilizing Software Development Life Cycle (SDLC) methodology employed by Prime. This role leads the work direction of a team of analysts and/or business, IT, and other project stakeholders to ensure solutions are consistent with organization objectives by acting as the bridge between the business systems analyst team, business stakeholders, development team, broader project team and various levels of management. With consistent Senior Leadership visibility, the Business Systems Analyst Sr is also responsible for partnering with the business, IT and other project stakeholders to elicit, define, and document the requirements for changes to Prime's claims systems.

Responsibilities

• Ensure understanding of business requirements and IT Business Requirement Specification acceptance criteria is successfully met prior to sign-off; identify and document system enhancement scope for assigned projects
• Provide leadership and serve as subject matter expert and mentor for other members of Claims, business systems, including cross-training assigned Business Systems Analysts on system requirements phase of assigned projects
• Provide work plan and detailed estimate based on scope; lead scope management, prioritization and drive scope trade off discussions with project teams; provide order of magnitude estimates for intake of projects
• Interview stakeholders to elicit and document highly complex business needs for modifications to Claims system applications, and define functional, high-level, and detailed system requirements for requested software changes
• Actively engage in Claim systems solutioning discussions with project teams to ensure clear understanding of requirements, approach, and system solution; obtain signoff of deliverables by all impacted parties
• Lead solution design review discussions between IT resources and business requestors to resolve questions regarding requested software changes, and participate with Quality Assurance and UAT resources to review related test cases and/or scenarios
• Lead highly complex projects where the project team will be faced with a high degree of ambiguity requiring the Lead to drive towards resolution
• Lead work direction of analysts and/or business, IT and other project stakeholders working on often large sized, high visibility efforts; define components and groupings, analyze and recommend features for phased execution and collaborate with business leaders on phased approach which may include preparation for and/or direct communication with IT and business leadership
• When leading group projects requiring more than one analyst, analyze and document feature level scope, estimates, dependencies, predecessors, priorities, and assumptions to define additional resource needs; collaborate with Resource Manager to determine work assignments within project
• Educate and advance business systems analyst practice within the Claims IT team and across the organization
• Other duties as assigned

Education & Experience

• Bachelor's degree in Business, Computer Science or related area of study, or equivalent combination of education and/or relevant work experience; High School Diploma or GED equivalent required
• 5 years of functional system requirements analysis experience
• Experience in Prime claims systems

Must be eligible to work in the United States without the need for work visa or residency sponsorship.

Additional Qualifications

• Ability to think creatively; demonstrate effectiveness at conflict management and consensus building in change management
• Demonstrated effectiveness in dealing with ambiguity
• Self directed worker, needs almost no supervision and works independently on highly complex work efforts while providing oversight and direction to a team of analysts
• Capable and willing to receive work direction from direct and indirect leadership
• Expert communication, collaboration and negotiation skills

Preferred Qualifications

• Previous Pharmacy Benefit Management (PBM) or healthcare experience with understanding of Medicare, Medicaid, the Exchanges along with regulatory compliance requirements (HIPAA and/or PCI)
• Understanding of security implications of domain
• Proficiency in Visio, Microsoft W