IT Business Systems Analyst Lead

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 an experienced Business Systems Analyst to lead business analysis efforts that connect strategic goals with effective technology solutions. In this role, you will partner with business leaders, stakeholders, developers, and QA teams to gather requirements, analyze processes, design solutions, and support delivery from concept through implementation. The ideal candidate brings strong business and systems analysis experience, technical aptitude, and the ability to translate complex needs into clear, actionable plans that drive operational and business value.

This position is well suited for a proactive, analytical professional who thrives in collaborative environments and is comfortable working through complexity and ambiguity. Successful candidates will have experience with requirements elicitation, process and data analysis, SQL, Agile practices, documentation, testing support, and cross-functional communication. This role also requires sound judgment, initiative, and the ability to influence outcomes, support users, and help deliver solutions that align with organizational priorities.

This position can be remote or hybrid.

• 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 planning and execution, including scenario development, facilitation, and traceability to requirements.
• 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.
• 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…