Senior Business Systems Analyst

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, and data they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

As a Senior Business Systems Analyst within the Electronic Data Migration and Implementation (EDMI) team, you will play a critical role in executing our primary charter: the conversion and loading of historical claim and prior authorization (PA) data for new business. Serving client-facing lines of business across Commercial, HIX, Medicaid, and Medicare, you will work closely with external clients and internal business partners alike. You will write comprehensive functional specifications for process improvements, plan and execute rigorous User Acceptance Testing (UAT), and facilitate claim and PA data copies during business restructuring. This role offers an exciting opportunity to apply modern technology and process innovation to secure smooth data migrations and deliver high-impact results for our partners.

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. 

Primary Responsibilities

• Collaborate closely with internal business partners to analyze data migration goals and requirements, with the opportunity to transition into external client-facing responsibilities as tenure on the team grows
• Write detailed functional specifications for data migration process improvements, system configurations, and automated workflows
• Plan, coordinate, and execute User Acceptance Testing (UAT) to validate that migration solutions and process improvements meet technical and operational standards
• Facilitate historical claim and prior authorization (PA) data mapping, conversion, and loading for new business integrations
• Coordinate claim and PA copy procedures for existing clients experiencing changes in business structures
• Use enterprise-approved AI tools to streamline workflow analysis, automate administrative or repetitive tasks, and continuously optimize data mapping and analysis processes
• Evaluate emerging trends and analytical tools to inform the design and implementation of strategic data migration solutions
• Support migration operations across diverse healthcare lines of business, including Commercial, HIX, Medicaid, and Medicare

Design, develop, and deploy AI-powered solutions to address complex business challenges with emphasis on responsible use of AI

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications

• 5+ years of experience in business systems analysis, technical implementation, or data migration operations
• 3+ years of experience writing detailed functional specifications, mapping requirements, or system configuration designs
• 3+ years of experience planning, executing, and documenting User Acceptance Testing (UAT)
• 3+ years of client-facing experience, serving as a primary liaison between business stakeholders, external clients, and technical teams

Preferred Qualifications

• Bachelor's degree in Information Systems, Computer Science, Healthcare Administration, Business, or a related field
• Demonstrated knowledge of pharmacy systems, prescription benefits management, or pharmacy data flows
• Familiarity or experience with National Council for Prescription Drug Programs (NCPDP) standards and data formats
• Experience migrating historical healthcare claims or prior authorization (PA) data
• Familiarity with healthcare lines of business such as Commercial, HIX, Medicaid, or Medicare
• Experience utilizing enterprise-approved AI tools (such as Generative AI assistants, low-code automations, or virtual collaboration tools) to optimize analysis efficiency, technical documentation drafting, or data mapping processes