It business systems analyst
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 - Remote
Job Description
The IT Business Systems Analyst is responsible for solving moderately complex system problems and for utilizing Software Development Life Cycle (SDLC) methodology employed by Prime and partnering with the business, IT, and other project stakeholders to elicit, define, and document the requirements and technical solutions 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 project
-
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 business needs for moderately complex 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
-
Facilitate 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
-
Serve as subject matter expert and mentor for more junior members of Claims IT team Participate in activities to ensure team and system development processes are improving and evolving to respond to changing business needs
-
Monitor and report project status, issues, and risks
-
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
-
2 years of functional system requirements analysis experience or 6 years of related work experience
-
Must be eligible to work in the United States without need for work visa or residency sponsorship
Must be eligible to work in the United States without the need for work visa or residency sponsorship
Additional Qualifications
-
Ability to facilitate and manage conflict
-
Ability to reach agreement through interpretation of facts, practices, policies, and using influencing and negotiation skills
-
Self-directed worker with ability to work independently or with team and independently deliver against all job accountabilities
-
Ability to organize and prioritize multiple tasks with high degree of attention to detail
-
Strong problem-solving and analysis skills
-
Excellent oral and written communication skills, including the ability to respectfully communicate and interact, with positive intent, with all people in the organization
-
Team player, ability to work in a fast paced, changing environment and ambiguity
-
Experience in facilitating diverse project teams to achieve stated results
-
Ability to exercise independent judgment to determine analysis methods and techniques for obtaining results
-
Capable and willing to receive work direction from direct and indirect leadership
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
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $66,000.00 - $106,000.00 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page ( and click on the "Benefits at a glance" button for more detail.
Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. _?
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer._
Positions will be posted for a minimum of five consecutive workdays.
Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.
If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.
Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. ?? ?
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email [email protected].
Recommended Jobs
Creative project coordinator
About Us Fiore Design is an award-winning graphic design studio specializing in large-format graphics, branded environments, and wayfinding solutions for spaces that tell a story. We work with cli…
Carpenter
Carpenter Gap, PA Do you have carpentry experience in framing or trim work and want to use your skills to build high-quality cabins and tiny homes in a steady, shop-based environment? Why Y…
Full Time Hospitalist - Neurology Job PA
Enterprise Medical Recruiting is assisting a health system one hour north of Philadelphia to recruit a new NeuroHospitalist for their practice. They are flexible on schedule and ready to hire ASAP. …
Internship - electrical engineering
Duquesne Light Company, headquartered in downtown Pittsburgh, is a leader in providing electric energy and has been in the forefront of the electric energy market, with a history rooted in technologi…
HOUSEKEEPER (FULL TIME)
We are hiring immediately for full time HOUSEKEEPER positions. Location : UPMC Children's Hospital Of Pittsburgh - 1 Children's Hospital Drive, Pittsburgh, PA 15224 Note: online application…
Barback
Headquartered in Chicago, IL, Puttshack USA opened its first location in 2021 as an upscale, tech-infused mini golf experience that appeals to everyone. More than just indoor mini golf, Puttshack lea…
Security Officer - UPMC McKeesport
UPMC McKeesport is currently hiring a fulltime Security Officer to join our team! Are you a dedicated security professional interested in working with an industry leader? This is a great opportunit…
Physician Assistant- Greater Philadelphia Area
Job Description Job Description We’re making great healthcare easy for all. Will you join us? Delivering great healthcare begins with you. vybe urgent care of Philadelphia is seeking to hir…
Software development manager
Job Description Manage a team that designs, develops, troubleshoots and debugs software programs for databases, applications, tools, networks etc. Responsibilities As a manager of the…
Contact Center Business Transformation - Senior Manager Save for Later Remove job
At PwC, our people in customer consulting specialise in providing consulting services focused on customer-related strategies and initiatives. These individuals analyse client needs, develop custome…