IT Business Systems Analyst Lead

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.

We’re proud to be recognized—again! For the fourth year in a row, we’ve been certified by Great Place to Work®, and for the third consecutive year, we’ve earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.

Watch this short video for a brief introduction to Paradigm.


The Business Systems Analyst is a strategic leader who operates at the intersection of business vision, data driven insight, and technical execution. In this role, you will lead discovery, analysis, and solution design efforts by partnering closely with business leaders, stakeholders, and technical teams to shape direction, clarify priorities, and drive high impact outcomes. You will take ownership of complex problems by leveraging tools such as SQL, agile backlog platforms, and process modeling techniques to inform decisions and guide work from concept through delivery, testing, and adoption.

Successful candidates are proactive, highly curious, and comfortable leading in environments with ambiguity. They bring strong analytical and technical acumen, take initiative without waiting for direction, and serve as a trusted advisor who elevates conversations from “what” to “why” and “what’s next.” This position is ideal for someone who enjoys influencing outcomes, mentoring through clarity, and driving alignment across business, development, and QA teams to deliver solutions that create lasting value.

RESPONSIBILITIES:

• Business Analysis & Requirements
◦ Lead requirements elicitation and document business, functional and non-functional requirements through formal business analysis practices.
◦ Analyze current systems, workflows, procedures, and operational needs to identify gaps, assess feasibility, and recommend improvements.
◦ Evaluate the impact of corporate initiatives and business objectives on existing applications and processes for ways to deliver maximum value.
◦ Gather and define input, output, reporting, and data requirements to support system enhancements and innovative solutions.
• Solution Design & Delivery
◦ Develop functional, conceptual, and logical design documentation, data models, and business case materials.
◦ Support UAT planning and execution, including scenario development, facilitation, and traceability to requirements.
◦ Maintain user engagement throughout analysis, development, and implementation, and obtain sign-off from scope through delivery.
◦ Create and maintain system documentation and contribute to implementation, conversion, and change control plans.
◦ Coordinate approved changes through development, testing, and production release processes.
• Operational Support & Collaboration
◦ Support operations and finance systems through implementation, maintenance, troubleshooting, and ongoing application support.
◦ Partners with developers, operations, DBAs, project managers, business users, vendors, and consultants to resolve issues and deliver solutions.
◦ Assist with complex datasets, reports, data-related production issues, and approved solution testing and deployment.
◦ Evaluate packaged software and serve as a liaison for technical issues between vendors, IT, and business stakeholders as needed.
◦ Research and recommend new or replacement solutions aligned to operational and strategic business needs.
• Leadership & Communication
◦ Collaborate with business partners to shape a long-term vision and drive ongoing backlog prioritization toward delivering that vision.
◦ Partner with project managers, development and QA leads to lead digital product team through development life cycle.
◦ Mentor and guide less experienced business analysts through work review, coaching, and knowledge sharing.
◦ Support development of training materials, training plans, and user education for new or enhanced systems.
◦ Ensure affected functional areas are informed and prepared for system changes, implementations, and conversions.

• Utilizes AI tools to support day-to-day tasks, improve efficiency, and enhance output qualit