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🧪Data Scientist

Senior Business Analyst – Pharmacy (RCM, Billing & Financial Reconciliation)

Inovalon · Canonsburg, PA
// classified as
Data Scientist (Modeling, experiments, research.)
posted
1d ago
location
Canonsburg, PA
languages
sql
tools
> stack
sql
> education
bsc
> description
<div class="content-intro"><p>Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon, we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building.</p> <p>Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare’s greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve.</p></div><p><strong>Location: </strong>This position is a hybrid role based out of our Canonsburg, PA office. The current expectation is that we are in office two days each week (Tuesday-Wed), with extra additional days as required during the month.<br><strong><br>Business Unit: Pharmacy (software Scriptmed)</strong></p> <p><strong>Overview:</strong></p> <p>The Principal Business Analyst is responsible for defining and driving enterprise-level business analysis strategy, standards, and execution across Customer Delivery. This role leads efforts to analyze, optimize, and transform operational processes associated with client onboarding, implementation, and lifecycle management.</p> <p>Acting as a strategic partner to Customer Delivery, Product, Engineering, Architecture, and Compliance leadership, the Principal Business Analyst establishes enterprise requirements management standards, shapes the operating model, and ensures scalable, compliant, and high-quality delivery. This role serves as a subject matter expert in Inovalon’s platforms, client delivery models, and healthcare (including pharmacy) ecosystems.</p> <p><strong>Duties and Responsibilities:</strong></p> <ul> <li><strong>Enterprise Strategy &amp; Governance</strong></li> <ul> <li>Define and implement enterprise Business Analyst strategy, standards, and best practices across Customer Delivery;</li> <li>Establish governance frameworks, operating models, and implementation standards to ensure consistency and quality across programs;</li> <li>Oversee enterprise implementation governance, ensuring alignment with strategic objectives, timelines, and client commitments;</li> </ul> <li><strong>Requirements Management &amp; Process Transformation</strong></li> <ul> <li>Establish enterprise standards for requirements management, including documentation, traceability, and backlog governance;</li> <li>Lead cross-functional efforts to document, analyze, and transform operational processes across onboarding and delivery workflows;</li> <li>Shape and evolve Customer Delivery operating models to improve scalability, efficiency, and client outcomes;</li> </ul> <li><strong>Solution Design &amp; Technical Partnership</strong></li> <ul> <li>Partner with Product Management and Architecture teams to define enterprise solution designs, including interoperability and integration strategies;</li> <li>Translate complex business needs into scalable technical and functional solutions, ensuring alignment with platform capabilities;</li> <li>Provide leadership in defining data, system, and integration requirements across enterprise initiatives;</li> </ul> <li><strong>Testing, UAT &amp; Implementation Readiness</strong></li> <ul> <li>Define enterprise testing strategies, UAT frameworks, and implementation readiness standards;</li> <li>Lead and oversee UAT planning, execution, defect management, and validation of solutions across multiple programs;</li> <li>Ensure solutions meet business, technical, and client requirements prior to production release;</li> </ul> <li><strong>Regulatory &amp; Compliance Alignment</strong></li> <ul> <li>Partner with Compliance and Legal teams to align business processes and solutions with regulatory and healthcare requirements;</li> <li>Ensure all delivery processes and system enhancements adhere to HIPAA and other applicable standards;</li> </ul> <li><strong>Stakeholder &amp; Executive Engagement</strong></li> <ul> <li>Influence and collaborate with executive stakeholders, business leaders, and external partners to shape strategy and drive outcomes;</li> <li>Act as a trusted advisor across Customer Delivery and enterprise teams on operational and strategic initiatives;</li> </ul> <li><strong>Delivery Leadership &amp; Decision-Making</strong></li> <ul> <li>Provide strategic oversight of delivery initiatives, making key decisions related to implementation, prioritization, and governance;</li> <li>Balance client needs, operational constraints, and technical considerations to drive optimal outcomes;</li> </ul> <li><strong>People Leadership &amp; Capability Development</strong></li> <ul> <li>Lead the development of Business Analyst maturity across the organization, including frameworks, tools, and best practices;</li> <li>Mentor, coach, and provide leadership guidance to Business Analysts across programs and teams;</li> </ul> <li><strong>Metrics, Reporting &amp; Continuous Improvement</strong></li> <ul> <li>Define enterprise delivery metrics, KPIs, and reporting frameworks to measure implementation success and operational performance;</li> <li>Drive continuous improvement initiatives using data-driven insights and performance analysis;</li> </ul> <li><strong>Operational &amp; Organizational Contributions</strong></li> <ul> <li>Support release management activities, including documentation, communications, and knowledge sharing;</li> <li>Contribute to product and Customer Delivery roadmaps and long-term strategy;</li> <li>Maintain compliance with all Inovalon policies, procedures, and mission;</li> <li>Adhere to all confidentiality, security, and HIPAA requirements; and</li> <li>Fulfill additional responsibilities as required to support operational and financial success.</li> </ul> </ul> <p><strong>Job Requirements:</strong></p> <ul> <li>Minimum eight (8) to twelve (12+) years of experience as a Business Analyst or related role, with increasing responsibility in enterprise or strategic initiatives;</li> <li>Extensive experience in enterprise requirements management, governance frameworks, and operating model design;</li> <li>Strong background supporting SaaS platforms, client implementations, and Customer Delivery or Client Success organizations;</li> <li>Experience partnering with architects and technical teams on solution design, integration, and interoperability;</li> <li>Deep understanding of healthcare ecosystems; pharmacy domain experience strongly preferred;</li> <li>Proven experience leading enterprise-level UAT, testing strategies, and implementation readiness frameworks;</li> <li>Strong knowledge of regulatory and compliance considerations within healthcare environments;</li> <li>Demonstrated ability to influence executive stakeholders and lead cross-functional initiatives;</li> <li>Knowledge of &nbsp;Agile/SCRUM methodologies;</li> <li>Advanced process modeling and documentation skills (e.g., Microsoft Visio or similar tools);</li> <li>Strong analytical, strategic thinking, and problem-solving capabilities;</li> <li>Excellent communication and executive-level presentation skills;</li> <li>Ability to manage multiple enterprise initiatives in a fast-paced environment;</li> <li>High level of professionalism, integrity, and accountability.</li> </ul> <p><strong>Education:</strong></p> <ul> <li>Bachelor’s degree in Business, Information Systems, Healthcare Administration, or related field;</li> </ul> <p><strong>Physical Demands and Work Environment:</strong></p> <ul> <li>Sedentary work (i.e., sitting for long periods of time);</li> <li>Exerting up to 10 pounds of force occasionally and/or negligible force frequently;</li> <li>Frequent use of computer and repetitive motion;</li> <li>Work performed in an indoor office environment; and</li> <li>Travel for this position may include up to 20%.</li> </ul><div class="content-pay-transparency"><div class="pay-input"><div class="description"><p><span style="font-size: 16px;"><strong>Inovalon Offers a Competitive Salary and Benefits Package</strong></span></p> <p><em><span style="font-size: 16px;">In addition to the base compensation, this position may be eligible for performance-based incentives.</span></em></p> <p><em>The actual base pay offered may vary depending on multiple factors including, but not limited to, job-related knowledge/skills, experience, business needs, geographical location, and internal equity.&nbsp; At Inovalon, it is not typical for an individual to be hired at or near the top end of the range for their role, and compensation decisions are dependent upon the facts and circumstances of each position and candidate.</em></p> <p><em>Inovalon invests in associates to help them stay healthy, save for long-term financial goals, and manage the demands of work and personal commitments. That’s why Inovalon offers a valuable&nbsp;<a href="https://www.inovalon.com/careers/#benefits">benefits package</a>&nbsp;with a wide range of choices to meet associate needs, which may include health insurance, life insurance, company-paid disability, 401k, 18+ days of paid time off, and more.</em></p></div><div class="title">Base Compensation Range</div><div class="pay-range"><span>$112,600</span><span class="divider">&mdash;</span><span>$168,800 USD</span></div></div></div><div class="content-conclusion"><p><em><span data-contrast="auto">This position is not eligible for immigration sponsorship (e.g. H-1B, TN, or E-3). Applicants must be authorized to work in the United States as a condition of employment. (This is only applicable for US-based positions)</span></em></p> <p><em><span data-contrast="auto">If you don’t meet every qualification listed but are excited about our mission and the work described, we encourage you to apply</span><span data-contrast="auto">.&nbsp; Inovalon is most interested in finding the best candidate for the job</span><span data-contrast="auto">,</span><span data-contrast="auto"> and you may be just the right person for this or other roles.</span><span data-ccp-props="{}">&nbsp;</span></em></p> <p><em><span data-contrast="auto">By embracing </span><span data-contrast="auto">inclusion</span><span data-contrast="auto">, </span><span data-contrast="auto">we enhance our work environment and drive business success. Inovalon strives to </span><span data-contrast="auto">provide equal opportunit</span><span data-contrast="auto">ies</span><span data-contrast="auto"> to</span><span data-contrast="auto"> the communities where we operate and to our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.</span><span data-ccp-props="{}">&nbsp;</span></em></p> <p><em><span data-contrast="auto">Inovalon is proud to be an equal opportunity workplace</span><span data-contrast="auto">. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or </span><span data-contrast="auto">v</span><span data-contrast="auto">eteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirement.</span><span data-ccp-props="{}">&nbsp;</span></em></p> <p><em><span class="ui-provider bsa bsb bsc bsd bse bsf bsg bsh bsi bsj bsk bsl bsm bsn bso bsp bsq bsr bss bst bsu bsv bsw bsx bsy bsz bta btb btc btd bte btf btg bth bti">To review the legal requirements, including all labor law posters, please visit this <a class="fui-Link ___10kug0w f3rmtva f1ewtqcl fyind8e f1k6fduh f1w7gpdv fk6fouc fjoy568 figsok6 f1hu3pq6 f11qmguv f19f4twv f1tyq0we f1g0x7ka fhxju0i f1qch9an f1cnd47f fqv5qza f1vmzxwi f1o700av f13mvf36 f1cmlufx f9n3di6 f1ids18y f1tx3yz7 f1deo86v f1eh06m1 f1iescvh fhgqx19 f1olyrje f1p93eir f1nev41a f1h8hb77 f1lqvz6u f10aw75t fsle3fq f17ae5zn" href="https://postings.govdocs.com/#/8sZXnFNWk3KYs3F" target="_blank">link</a></span></em></p> <p><em><span class="ui-provider bsa bsb bsc bsd bse bsf bsg bsh bsi bsj bsk bsl bsm bsn bso bsp bsq bsr bss bst bsu bsv bsw bsx bsy bsz bta btb btc btd bte btf btg bth bti">To review the California Consumer Privacy Statement: Disclosures for California Residents, please visit this&nbsp;<a href="https://www.inovalon.com/privacy-policy/">link</a></span></em></p></div>