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Lead Business Systems Analyst

$106.2k - $182.98k

SCAN

Strategic Liaison For Clinical Applications

Serve as a strategic liaison among business stakeholders, technical teams, and enterprise architects to define and deliver technology-driven solutions for complex business challenges. Drive alignment between business objectives and technical capabilities, ensuring solutions meet organizational goals and compliance standards.

You Will

  • Serve as the primary analytical leader for SCAN's Clinical Applications ecosystem, driving clarity, alignment, and solution design across Care Management, Utilization Management, Pharmacy, Appeals/Grievances, and Population Health platforms.
  • Translate clinical operations strategy into actionable technology roadmaps, ensuring requirements, workflows, and data models support regulatory compliance, audit readiness, and measurable improvements in member outcomes.
  • Lead cross functional discovery and solutioning for complex clinical workflows, partnering with clinicians, business owners, architects, and engineering teams to design scalable, interoperable, and future ready capabilities.
  • Strategic Requirements Leadership Lead elicitation, analysis, and documentation of business and technical requirements for enterprise-level initiatives. Translate business needs into comprehensive Software Requirement Specifications (SRS), integration mappings, and transformation models. Deliver advanced artifacts such as Business Process Models, Data Flow Diagrams, BRDs, Requirements Traceability Matrices, and User Stories with Acceptance Criteria.
  • Governance & Standards Ensure adherence to Software and Services department protocols, SDLC best practices, and enterprise architecture standards. Champion process improvements and enforce compliance with organizational guidelines.
  • Quality Assurance & Validation Design and oversee robust test strategies and plans. Provide deep validation of technical deliverables, ensuring alignment with functional and non-functional requirements.
  • Implementation & Technical Leadership Partner with technical leads to guide project lifecycle execution, ensuring efficient and scalable platforms. Communicate complex technical concepts to non-technical audiences and bridge gaps between business and IT.
  • Stakeholder Engagement & Influence Maintain proactive relationships with business units, IT teams, and vendors. Set clear expectations, manage risks, and provide executive-level updates on progress and challenges.
  • Thought Leadership & Mentorship Apply advanced knowledge of industry trends to shape technology strategy and improve service delivery. Mentor junior analysts and contribute to building organizational capability.
  • Facilitation & Communication Lead high-impact meetings, including executive briefings and cross-functional workshops. Drive consensus and decision-making across diverse stakeholder groups.
  • We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
  • Actively support the achievement of SCAN's Vision and Goals.
  • Other duties as assigned.

Your Qualifications

  • Bachelor's Degree or equivalent work experience required

  • 5-7 years of related experience

  • Hands‑on experience with clinical platforms such as care management systems, UM/CM platforms, HEDIS/quality systems, EHR integrations, or interoperability frameworks (FHIR, HL7, X12).

  • Proven track record of leading enterprise-scale projects.
  • Expertise in SDLC, Agile methodologies, and integration frameworks.
  • Advanced proficiency in modeling tools and requirements management platforms.
  • Advanced Stakeholder Management Ability to influence and align diverse stakeholders across business and IT, including executive leadership. This includes managing expectations, negotiating priorities, and driving consensus in complex environments.
  • Strategic Requirements Analysis Expertise in translating business objectives into detailed functional and technical specifications, leveraging advanced modeling techniques (e.g., BPMN, data flow diagrams) and ensuring traceability throughout the SDLC.
  • Technical Acumen with Integration Expertise Deep understanding of enterprise IT landscapes, integration frameworks, and data transformation principles. Ability to collaborate effectively with architects and development teams to design scalable, secure solutions.
  • Leadership in Governance and Quality Assurance Proven ability to establish and enforce standards, lead validation efforts, and oversee testing strategies to ensure compliance, quality, and alignment with organizational goals.
  • Understands clinical data across CCD/C‑CDA, ADT, labs, pharmacy, and claims with strong FHIR/HL7/X12 skills and coding‑system expertise for accurate requirements and validation.
  • Technical expertise - Advanced analytical skills
  • Problem Solving - Advanced problem-solving skills
  • Communication - Advanced communication and interpersonal skills
  • Clinical Workflow & Domain Expertise
  • Clinical Data & Interoperability

What's in it for you?

  • Base Pay Range: $106,200 to $182,983 annually

  • An annual employee bonus program

  • Robust Wellness Program

  • Generous paid-time-off (PTO)

  • 11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days

  • Excellent 401(k) Retirement Saving Plan with employer match

  • Robust employee recognition program

  • Tuition reimbursement

  • An opportunity to become part of a team that makes a difference to our members and our community every day!

We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!

At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.

SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

Vacancy posted 3 days ago
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