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Job Posting Title

Lead Business AnalystJob Description

The Business Systems Analyst (BSA) Lead IT is responsible for serving as a key role solving highly complex system problems which require the regular use of ingenuity and innovation, utilizing Software Development Life Cycle (SDLC) methodology employed by Prime. This role leads the work direction of a team of analysts and/or business, IT, and other project stakeholders to ensure solutions are consistent with organization objectives by acting as the bridge between the business systems analyst team, business stakeholders, development team, broader project team and various levels of management. With consistent Senior Leadership visibility, the BSA Lead IT is also responsible for partnering with the business, IT and other project stakeholders to elicit, define, and document the requirements 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 projectsProvide leadership and serve as subject matter expert and mentor for other members of Claims IT team, including cross-training assigned BSAs on system requirements phase of assigned projectsProvide work plan and detailed estimate based on scope; lead scope management, prioritization and drive scope trade off discussions with project teams; provide order of magnitude estimates for intake of projectsInterview stakeholders to elicit and document highly complex business needs for modifications to Claims system applications, and define functional, high-level, and detailed system requirements for requested software changesActively 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 partiesLead 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 Lead highly complex projects where the project team will be faced with a high degree of ambiguity requiring the Lead to drive towards resolutionLead work direction of analysts and/or business, IT and other project stakeholders working on often large sized, high visibility efforts; define components and groupings, analyze and recommend features for phased execution and collaborate with business leaders on phased approach which may include preparation for and/or direct communication with IT and business leadershipWhen leading group projects requiring more than one analyst, analyze and document feature level scope, estimates, dependencies, predecessors, priorities, and assumptions to define additional resource needs; collaborate with Business Systems Analyst Resource Lead or Resource Manager to determine work assignments within projectEducate and advance business systems analyst practice within the Claims IT team and across the organizationOther 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 required5 years of functional system requirements analysis experienceExperience in Prime claims systemsMust be eligible to work in the United States without need for work visa or residency sponsorship

Additional Qualifications

Ability to think creatively; demonstrate effectiveness at conflict management and consensus building in change managementDemonstrated effectiveness in dealing with ambiguitySelf directed worker, needs almost no supervision and works independently on highly complex work efforts while providing oversight and direction to a team of analystsCapable and willing to receive work direction from direct and indirect leadershipExpert communication, collaboration and negotiation skills

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 domainProficiency in Visio, Microsoft Word, Excel, PowerPoint, Project

Minimum Physical Job Requirements

Ability to travel between Prime locations as neededAbility 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 hearFrequently required to reach with hands and armsOccasionally required to lift and/or move up to 10 poundsSpecific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

Reporting Structure

Reports to a Manager in the Information Technology department

Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law.

Positions will be posted for a minimum of five consecutive workdays.