Specialty Network Operations Senior Business Analyst - Remote

Posted 4 Days Ago
Hiring Remotely in Home, PA
Remote
81K-138K Annually
Mid level
Insurance
The Role
The Senior Business Analyst will manage projects, analyze business needs, coordinate with stakeholders, and ensure compliance with operational changes while delivering client-focused solutions.
Summary Generated by Built In

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

Specialty Network Operations Senior Business Analyst - RemoteJob Description

The Senior Business Analyst Sr will execute on small projects as a liaison among business operations, technology groups, clients, business partners, vendors, and all project management offices to understand, analyze, and facilitate business needs, requirements, and impacts of business changes as a result of strategic initiatives, operational changes, compliance requirements, client needs, and technology or operational improvements.

Responsibilities

  • Execute independently on small sized projects or as part of a team of BAs on larger projects working closely with internal and external stakeholders to ensure superior customer and client experience. Specific focus on the specialty network operations fee schedule updates for the clients.
  • Define and validate business needs with project team
  • Participate in stakeholder analysis and identify subject matter experts needed for work effort
  • Assess capability gaps, determine solution options and approach, and define solution scope
  • Plan business analysis approach and activities
  • Prepare for, conduct, and document elicitation sessions
  • Manage requirements traceability to solution scope, objectives, system requirements, and testing
  • Define user acceptance testing approach
  • Adherence to business analysis discipline and standards in accordance with the Prime Project Lifecycle methodology
  • Other duties as assigned

Education & Experience

  • Bachelor's degree in business, IT, or related area of study, or equivalent combination of education and/or relevant work experience; High School Diploma or GED equivalent required
  • 3 years of work experience in business analysis
  • 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

  • Intermediate understanding of business analysis concepts and methodologies
  • Demonstrated drive to deliver results
  • Demonstrated verbal, written communication, facilitation skills, conflict management, consensus building, problem solving, analytical skills, and creative thinking skills
  • Ability to organize and prioritize multiple tasks with high degree of attention to detail
  • Self-directed and strong personal initiative and accountability
  • Team player, comfortable with fast paced, changing environment and ambiguity
  • Experience in leading and motivating diverse project teams to achieve stated results
  • Ability to independently deliver against all job accountabilities

Preferred Qualifications

  • Functional knowledge of the Business Analysis Body of Knowledge (BABOK)
  • Experience in client relationship management
  • Working towards or has completed a Business Analysis certification
  • Demonstrated experience in eliciting requirements using a variety of techniques
  • Demonstrated experience in specifying and modeling requirements
  • Proficient in basic office productivity software and tools (MS Word, Excel, Visio, etc.)

Physical Demands

  • Ability to work a flexible schedule including weekends, holidays, overtime, on-call, and shifts outside of Prime's core business hours of 9:00 a.m. to 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 stand, walk and stoop, kneel, and crouch
  • Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
  • Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

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.

Potential pay for this position ranges from $81,000.00 - $138,000.00 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 (pregnancy, sexual orientation, and gender identity), 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.

Top Skills

Excel
Ms Word
Visio
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The Company
HQ: Eagan, MN
3,577 Employees
On-site Workplace
Year Founded: 1987

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.

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