Business Systems Analyst, Prior Authorization Technology
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Business Systems Analyst, Prior Authorization Technology based in the United States.
This role offers the opportunity to bridge healthcare operations and technology by improving prior authorization workflows and digital solutions.
You will serve as a key connector between operational teams, engineering partners, automation providers, and business stakeholders.
The position focuses on translating business needs into scalable technology solutions that improve efficiency, consistency, and operational performance.
You will help shape system enhancements, workflow designs, testing strategies, and process improvements across critical healthcare operations.
This opportunity is ideal for a detail-oriented professional who combines healthcare knowledge with technical curiosity and strong communication skills.
You will contribute to building smarter processes, optimizing technology adoption, and supporting better outcomes across prior authorization functions.
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Business Systems Analyst, Prior Authorization Technology based in the United States.
This role offers the opportunity to bridge healthcare operations and technology by improving prior authorization workflows and digital solutions.
You will serve as a key connector between operational teams, engineering partners, automation providers, and business stakeholders.
The position focuses on translating business needs into scalable technology solutions that improve efficiency, consistency, and operational performance.
You will help shape system enhancements, workflow designs, testing strategies, and process improvements across critical healthcare operations.
This opportunity is ideal for a detail-oriented professional who combines healthcare knowledge with technical curiosity and strong communication skills.
You will contribute to building smarter processes, optimizing technology adoption, and supporting better outcomes across prior authorization functions.
Accountabilities:
- 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.
- 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.
- 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.
- Retirement 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.
As a Business Systems Analyst, Prior Authorization Technology, you will support technology initiatives by analyzing operational needs, documenting requirements, and partnering with technical teams to deliver effective solutions. You will help optimize prior authorization workflows by ensuring systems, processes, and stakeholders remain aligned throughout implementation and continuous improvement efforts.
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.