Sr. AI Business Analyst - Remote

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.

Are you a Business Systems Analyst with an AI background? We are standing up a new AI department, and this role will provide you with a groundbreaking opportunity to grow your career in the IT AI space.

The Sr. IT Business Systems Analyst (BSA) 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 IT BSA Sr 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 projects
• Provide 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 projects
• Provide 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 projects
• Interview 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 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
• Lead 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 resolution
• Lead 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 leadership
• When 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 project
• Educate and advance business systems analyst practice within the Claims IT team and across the organization
• 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

• 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

Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

• Ability to think creatively; demonstrate effectiveness at conflict management and consensus building in change management
• Demonstrated effectiveness in dealing with ambiguity
• Self-directed worker, needs almost no supervision and works independently on highly complex work efforts while providing oversight and direction to a team of analysts
• Capable and willing to receive work direction from direct and indirect leadership
• Expert 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 domain
• 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.

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.