Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm's business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.
We're
proud to be recognized-again! For the fourth year in a row, we've been certified by
Great Place to Work , and for the third consecutive year, we've earned a spot on Fortune's Best Workplaces in Health Care list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.
Watch this short video for a brief introduction to Paradigm.
We are seeking a full-time, remote Business Systems Analyst Lead. The Business Systems Analyst is a strategic leader who operates at the intersection of business vision, data-driven insight, and technical execution. In this role, you will lead discovery, analysis, and solution design efforts by partnering closely with business leaders, stakeholders, and technical teams to shape direction, clarify priorities, and drive high-impact outcomes. You will take ownership of complex problems by leveraging tools such as SQL, agile backlog platforms, and process modeling techniques to inform decisions and guide work from concept through delivery, testing, and adoption.
Successful candidates are proactive, highly curious, and capable of leading complex initiatives in evolving business environments. They bring strong analytical and technical acumen, take initiative without waiting for direction, and serve as a trusted advisor who elevates conversations from "what" to "why" and "what's next." This position is ideal for someone who enjoys influencing outcomes, mentoring through clarity, and driving alignment across business, development, and QA teams to deliver solutions that create lasting value.
RESPONSIBILITIES:- Business Analysis & Requirements
- Lead requirements elicitation and document business, functional and non-functional requirements through formal business analysis practices.
- Analyze current systems, workflows, procedures, and operational needs to identify gaps, assess feasibility, and recommend improvements.
- Evaluate the impact of corporate initiatives and business objectives on existing applications and processes for ways to deliver maximum value.
- Gather and define input, output, reporting, and data requirements to support system enhancements and innovative solutions.
- Solution Design & Delivery
- Develop functional, conceptual, and logical design documentation, data models, and business case materials.
- Support UAT strategy, scenario development, business participation, defect triage, traceability and business sign-off activities.
- Maintain user engagement throughout analysis, development, and implementation, and obtain sign-off from scope through delivery.
- Create and maintain system documentation and contribute to implementation, conversion, and change control plans.
- Coordinate approved changes through development, testing, and production release processes.
- Evaluate automation opportunities and AI-enabled solutions that improve business outcome, user experience and operation efficiency.
- Operational Support & Collaboration
- Support operations and finance systems through implementation, maintenance, troubleshooting, and ongoing application support.
- Partners with developers, operations, DBAs, project managers, business users, vendors, and consultants to resolve issues and deliver solutions.
- Assist with complex datasets, reports, data-related production issues, and approved solution testing and deployment.
- Evaluate packaged software and serve as a liaison for technical issues between vendors, IT, and business stakeholders as needed.
- Research and recommend new or replacement solutions aligned to operational and strategic business needs.
- Leadership & Communication
- Collaborate with business partners to shape a long-term vision and drive ongoing backlog prioritization toward delivering that vision.
- Partner with project managers, development and QA leads to lead digital product team through development life cycle.
- Mentor and guide less experienced business analysts through work review, coaching, and knowledge sharing.
- Support development of training materials, training plans, and user education for new or enhanced systems.
- Ensure affected functional areas are informed and prepared for system changes, implementations, and conversions.
QUALIFICATIONS:- Education & Experience
- Bachelor's degree is preferred in a health-related field, business, computer science, or a related area, or an equivalent combination of education, training, and experience.
- 10 or more years of work experience in business or systems analysis within the IT development field, with three (3) of those years in the healthcare industry; OR any combination of academic education, professional training, or work experience which demonstrates the ability to perform the duties of the position.
- Proficient with documenting logical diagrams, flows and any other type of documentation to make consumers assimilate as-is and to-be knowledge.
- Familiar with advanced IT concepts, IT policies, service-oriented architecture, and web services.
- Knowledgeable designer of Intranet and/or web-based systems.
- Good understanding & experience with relational databases & SQL.
- Enhanced knowledge of database structure and design.
- Strong understanding of the Software Development Life Cycle, change management, and SCRUM/Agile processes.
- Proficiency using Microsoft-based technologies, including Microsoft Office.
- Experience working with application lifecycle or test management tools such as Azure DevOps or equivalent tools.
- Job-Related Skills & Abilities
- Highly self-directed with a powerful desire to understand how things work and how they can be improved.
- Strong analytical, critical thinking, and possess problem-solving skills.
- Ability to evaluate information, make sound decisions, and resolve issues effectively.
- Clear and professional written and verbal communication skills
- Demonstrated ability to collaborate effectively with cross-functional teams.
- Work Style & Performance Expectations
- Ability to prioritize work, manage multiple assignments, and meet established deadlines.
- Effective in a fast-paced, changing work environment.
- Ability to work independently with appropriate supervision.
- Consistent attention to detail and accuracy in work performed.
Paradigm Benefits:- Health and wellness- We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
- Financial incentives - Paradigm's financial benefits help prepare you for the future: competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.
- Vacation - We believe strongly that work-life balance is good for you and for our company. Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest.
- Volunteer time- We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.
- Learning and development: One of Paradigm's core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways, including our new Learning Excellence at Paradigm (LEAP) program.
Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We're striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.
Paradigm complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Leave Management at
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
As a contractor with the State of Wisconsin, Paradigm complies with Wisconsin Contract Compliance Law ( 16.765). Poster link: Contract Compliance Law Poster
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