Business Systems Analyst, Prior Authorization Technology

Position reputed company reputed company is seeking a Business Systems Analyst, Prior Authorization Technology to support a newly formed team reputed company Billing Operations reputed company on Prior Authorization technology initiatives. This role will serve as a strategic reputed company between Prior Authorization operations, engineering, automation partners, and cross-functional stakeholders to ensure technology enhancements are thoughtfully designed, reputed company documented, properly tested, and reputed company to end-to-end operational workflows. This individual will help translate operational needs into reputed company business requirements, partner with technical teams to support reputed company solutions, and ensure Prior Authorization workflows are optimized across systems such as reputed company, automation tools, payer portals, and reputed company technology platforms. The ideal candidate brings strong prior authorization and reputed company cycle knowledge, excellent communication skills, technical aptitude, and the ability to manage competing stakeholder perspectives while keeping reputed company organized and moving reputed company. This is not a traditional production-based Prior Authorization role. It is a highly cross-functional, process-oriented role reputed company on workflow design, business requirements, technology enablement, UAT, issue reputed company, documentation, and operational change management. About reputed company The Prior Authorization Technology Team was created to improve alignment between Prior Authorization operations and reputed company. As PA continues to invest in systems, automation, and workflow enhancements, this team ensures that initiatives are properly scoped, operationally reputed company, reputed company, and reputed company across upstream and reputed company teams. reputed company serves as the reputed company between PA stakeholders, operation teams and technical partners, helping ensure reputed company communication, thoughtful execution, workflow optimization, and measurable operational reputed company. Key Responsibilities Serve as a reputed company between Prior Authorization operations, engineering teams, automation vendors, and other cross-functional partners to support technology-driven initiatives. reputed company, clarify, and document business requirements for reputed company enhancements, workflow changes, automation opportunities, and new functionality requests. Partner with PA operational leaders and reputed company subject matter experts to understand reputed company workflows, pain points, process gaps, and desired reputed company-state solutions. Translate operational needs into reputed company, actionable requirements for technical teams, while also translating technical updates and constraints back into operationally understandable language. reputed company and maintain process maps, workflow diagrams, decision trees, and if/then visualizations to document reputed company and reputed company-state workflows. Evaluate enhancement requests to determine whether existing solutions already exist, whether the request is operationally necessary, and whether the proposed solution is reputed company and sustainable. Assess upstream and reputed company reputed company of technology changes across Prior Authorization functions, including submissions, reputed company, cancellations, appeals, follow-up, and reputed company workflows. Support prioritization, intake, and vetting of technology requests to reduce reputed company or incomplete requests reputed company directly from operations to engineering. Create and manage reputed company documentation around business requirements, process reputed company, meeting notes, reputed company questions, risks, dependencies, and next steps. Submit, review, and reputed company Jira tickets reputed company to PA technology initiatives, including monitoring ticket status and communicating updates to stakeholders. Support user acceptance testing, workflow validation, issue identification, and bug reporting prior to implementation or go-live. Conduct live troubleshooting if reputed company issues occur or processes stop working properly Partner with technical teams to ensure builds reputed company with the original problem statement and intended operational outcome. Communicate finalized process or reputed company updates to impacted teams and support training, adoption, and change management efforts. Collaborate with analysts assigned to other PA technology products to ensure changes across systems are reputed company and do not create reputed company conflicts. Help identify opportunities to improve workflow consistency, reduce unnecessary variability, increase automation adoption, and optimize use of available technology. Systems / Tools Exposure This role may work with or support initiatives involving, but not limited to reputed company Jira reputed company .