Prime Therapeutics ยท 1 week ago
Business Analyst II - Remote in the California market
Maximize your interview chances
Health CarePharmaceutical
H1B Sponsor Likely
Insider Connection @Prime Therapeutics
Get 3x more responses when you reach out via email instead of LinkedIn.
Responsibilities
Develops and documents workflow, systems requirements, system impact analysis, systems design, process analysis and testing (including reasonableness checks) using software development methodology to provide efficient, cost-effective solutions as directed.
Creates and maintains standard related reports to support operational and development needs.
Manages reporting and requests for ad hoc reports to support sales, implementation, new product development, specials.
Queries data warehouse and internal databases and prepares user friendly reports according to requestors? requirements.
Creates and maintains internal management tools and databases to support CQI, rates, workflow business rules and system configuration, reimbursement and document management requirements.
Develops and maintains project plans. Manages small to medium sized projects, system enhancements impacting data management.
Conducts root cause analyses, gathering data to pinpoint problem areas on which to focus, validating that the analysis is data driven, recommending and implementing solutions and evaluating those results, and implementing controls to monitor consistent use of the solution.
Participates in design plans for implementation, produces user documentation and training materials. May conduct end user training.
Provides status reports that give a detailed description of the current project's progress and indicates time devoted to each task of the project; leads status meetings, creating agendas and documenting meeting minutes as needed.
Identifies reporting needs based on system configuration and workflows and documents reporting requirements and testing of new reports in development prior to implementation to Production.
Participates in initiatives or projects that support process improvements, leveraging new system capabilities or the integration of data/other applications into existing systems.
Performs other duties as assigned.
Qualification
Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.
Required
Related professional experience in the managed care, healthcare, or insurance industries.
Analytical/problem solving skills.
Excellent verbal and written communication skills.
Strong PC background and efficient in using standard software.
Knowledge of system process analysis and/or program management, estimating IT system development, and testing.
Business Analysis
A Combination of Education and Work Experience May Be Considered.
Bachelors
Preferred
Experience working in Medicare Operations.
Company
Prime Therapeutics
Prime Therapeutics is an independent pharmacy benefit manager that primarily serves Blue Cross Blue Shield plans
H1B Sponsorship
Prime Therapeutics has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (10)
2022 (6)
2021 (5)
2020 (2)
Funding
Current Stage
Late StageLeadership Team
Company data provided by crunchbase