Job Description
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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
Education & Experience - 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
Physical Demands - Ability to travel between Prime locations as needed
- Ability to work outside of Prime's core hours of 9:00 a.m. – 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 lift and/or move up to 10 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 $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 (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.
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 (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.
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 Careers@primetherapeutics.com.
Job Tags
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