IT Business Systems Analyst Sr

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

IT Business Systems Analyst Sr

Job Description

The Business Systems Analyst (BSA) Senior IT is responsible for serving as a key role in solving complex system problems which require the regular use of ingenuity and innovation, utilizing Software Development Life Cycle (SDLC) methodology employed by Prime. This role, partnering with the business, IT and other project stakeholders, ensures solutions are consistent with organization objectives by acting as the bridge between the Business Systems Analyst team, business stakeholders, development team and broader project team. The BSA Sr IT 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 work plan and detailed estimate based on scope; drive scope management, prioritization and scope trade off discussions with project teams
• Interview stakeholders to elicit and document 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 complex projects where the project team may be faced with a high degree of ambiguity requiring the BSA to drive towards resolution
• Provide order of magnitude estimates for intake of projects
• Serve as subject matter expert and mentor for more junior members of Claims IT team
• Drive activities to ensure team and system development processes are improving and evolving to respond to changing business needs
• Other duties as assigned

Minimum Qualifications

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

Additional Qualifications

• Experience with SQL to write SQL Stories
• Experience with Agile practices
• Ability to think creatively; demonstrated effectiveness at conflict management and consensus building in change management
• Self directed worker, needs minimal supervision; works independently on large complex work efforts
• Desire and ability to educate and advance the business systems analyst practice within the Claims IT team and across the organization
• Strong analytical and technical problem-solving skills
• Capable and willing to receive work direction from direct and indirect leadership
• Team player, ability to work in a fast paced, changing environment and a greater degree of ambiguity

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)
• Experience working in an internal or commercial software development organization with knowledge of software development life cycle
• Understanding of security implications of domain
• Experience in Prime claims systems
• Proficiency in Visio, Microsoft Word, Excel, PowerPoint, Project

Minimum Physical Job Requirements

• Ability to travel between Prime locations as needed
• Ability to work outside of Prime’s core hours of 9:00 a.m. – 3:00 p.m.
• Constantly required to sit, use hands to handle or feel, talk and hear
• Frequently required to reach with hands and arms
• Occasionally required to lift and/or move up to 10 pounds
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus