Business Systems Analyst, Prior Authorization Technology

Accountabilities

• Support technology initiatives by analyzing operational needs, documenting requirements, and partnering with technical teams to deliver effective solutions.
• Help optimize prior authorization workflows by ensuring systems, processes, and stakeholders remain aligned throughout implementation and continuous improvement efforts.
• 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.
• Translate operational needs into clear technical requirements while communicating technical updates and limitations back to business teams.
• Create and maintain process documentation, workflow diagrams, decision trees, and visual representations of current and future workflows.
• Evaluate technology requests to determine feasibility, operational value, scalability, and alignment with business priorities.
• Assess the impact of system changes across prior authorization processes, including submissions, decisions, appeals, cancellations, and follow-up workflows.
• Support prioritization and intake processes to ensure technology requests are complete, structured, and aligned with engineering capabilities.
• 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.
• Ensure technology solutions align with intended business outcomes and operational requirements.
• Support communication, training, and change management activities related to new processes and system updates.
• Collaborate with other technology-focused analysts to ensure system changes remain aligned across platforms.
• Identify opportunities to improve workflow consistency, automation adoption, and overall technology effectiveness.

Requirements

• The ideal candidate is a healthcare operations professional with strong analytical skills, technical aptitude, and experience translating business needs into technology solutions.
• You should be comfortable working across business and technical teams, managing multiple initiatives, and improving complex operational workflows.
• 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.
• Comfort working in an evolving environment with ambiguity and changing priorities.
• Technical curiosity and willingness to learn new systems, tools, and workflows.
• 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.
• Exposure to automation platforms, payer portals, healthcare technology solutions, or system integrations.
• Familiarity with Agile, Scrum, or structured project management methodologies.
• Experience supporting user acceptance testing, implementation activities, workflow validation, or change management.
• Basic familiarity with SQL, Snowflake, reporting tools, or data workflows is a plus.

Benefits

• Competitive salary range of approximately $85,100-$106,400 USD, depending on skills, experience, qualifications, and location.
• Comprehensive medical, dental, and vision insurance coverage.
• Life insurance and disability benefits.
• Retail savings benefits, including 401(k) options.
• Fertility care benefits and additional family support resources.
• Pregnancy and parental bonding leave.
• Employee referral programs and additional employee benefits.
• Fully remote work environment with flexibility and collaboration opportunities.
• Opportunity to work on impactful healthcare technology initiatives.
• Professional growth opportunities within a collaborative, innovation-focused environment.