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 TitleIT Business Systems Analyst - RemoteJob DescriptionThe 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.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.
Similar Jobs
What We Do
Everything we do is connected to helping people get the medicine they need to feel better and live well. It’s meaningful work and we’ve been doing it for over 20 years.
In the pharmacy benefit management (PBM)industry, we’re different. We’re owned by 18 not-for-profit Blue Cross and Blue Shield health plans. This allows us to control costs and empower our employees to put members first. It’s a successful combination. We have the lowest pharmacy trend in the industry and serve 28+ million members throughout the US.
In addition to core PBM services, we work closely with our clients to implement the right benefit design, clinical and specialty programs, formulary and networks. A few key products:
• NetResults™
• Specialty Drug Management
• Best in Care™
• GuidedHealth®
• Advanced Fraud, Waste and Abuse: Member and Prescriber Investigations
• Prime Analytics™
• CareCentered Contracting™Controlled Substance Management Program
Join us!
Prime is always looking for smart, purposeful people to join our team. We’re growing fast which means there are plenty of opportunities to advance and grow in your career.
At the same time, Prime supports flexibility and offers generous PTO so you can enjoy an enviable work/life balance. We’re a privately held company -big enough to make a difference and small enough for you to have an impact.
Follow Prime on LinkedIn to learn more.