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Business Systems Analyst Lead

2 months ago

Glen Allen, Virginia, United States Prime Therapeutics Full time
Job Summary

We are seeking a highly skilled Business Systems Analyst Lead to join our team at Prime Therapeutics. As a key member of our IT department, you will be responsible for leading the work direction of a team of analysts and/or business, IT, and other project stakeholders to ensure solutions are consistent with organization objectives.

Key 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 projects
  • Provide leadership and serve as subject matter expert and mentor for other members of Claims IT team
  • Provide work plan and detailed estimate based on scope; lead scope management, prioritization and drive scope trade off discussions with project teams
  • Interview stakeholders to elicit and document highly complex business needs for modifications to Claims system applications
  • Actively engage in Claim systems solutioning discussions with project teams to ensure clear understanding of requirements, approach, and system solution
  • Lead solution design review discussions between IT resources and business requestors to resolve questions regarding requested software changes
  • Lead highly complex projects where the project team will be faced with a high degree of ambiguity requiring the Lead to drive towards resolution
Requirements
  • Bachelor's degree in Business, Computer Science or related area of study, or equivalent combination of education and/or relevant work experience
  • 5 years of functional system requirements analysis experience
  • Experience in Prime claims systems
  • Must be eligible to work in the United States without need for work visa or residency sponsorship
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)
  • Understanding of security implications of domain
  • Proficiency in Visio, Microsoft Word, Excel, PowerPoint, Project
Work Environment

Prime Therapeutics LLC is a fast-paced and dynamic work environment that 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.

We are 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, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law.