Business Systems Analyst, Prior Authorization Technology

Based in the United StatesFull-TimeMiddle

Salary85,100 - 106,400 USD per year

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Job Details

Experience in Prior Authorization, Revenue Cycle, Billing Operations, healthcare operations, or a closely related healthcare function.
Strong understanding of prior authorization workflows, ideally within healthcare, diagnostics, laboratory, biotechnology, or revenue cycle environments.
Demonstrated experience gathering business requirements and translating operational needs into technical or functional specifications.
Strong process mapping, workflow documentation, and visual diagramming skills.
Excellent written and verbal communication skills with the ability to engage technical and non-technical audiences.
Strong organizational skills with the ability to manage multiple projects, stakeholders, priorities, and deadlines.
Ability to facilitate discussions, resolve differing viewpoints, and drive alignment across teams.
Strong critical thinking skills with the ability to identify dependencies, risks, downstream impacts, and process improvements.
Experience working with Salesforce or similar CRM and workflow platforms.
Experience using Jira or comparable ticketing and project management tools.
Experience with process-mapping tools such as Miro, Draw.io, Visio, or Lucidchart.
Familiarity with Agile, Scrum, or structured project management methodologies.

Serve as a strategic liaison between Prior Authorization operations, engineering teams, automation partners, and cross-functional stakeholders.
Gather, analyze, and document business requirements for system enhancements, workflow improvements, automation opportunities, and new functionality.
Partner with operational leaders and subject matter experts to understand current workflows, identify pain points, and define future-state solutions.
Create and maintain process documentation, workflow diagrams, decision trees, and visual representations of current and future workflows.
Manage documentation related to requirements, process decisions, risks, dependencies, action items, and project updates.
Create, monitor, and track Jira tickets related to technology initiatives and communicate progress to stakeholders.
Support user acceptance testing, workflow validation, issue identification, and implementation readiness activities.
Troubleshoot system issues and collaborate with technical teams to resolve workflow disruptions.
Support communication, training, and change management activities related to new processes and system updates.
Identify opportunities to improve workflow consistency, automation adoption, and overall technology effectiveness.

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