Business Systems Analyst Visa Sponsorship Jobs in Oregon
Oregon's business systems analyst market centers on Portland's thriving tech and financial services sectors, with major employers including Nike, Intel, Precision Castparts, and a growing cluster of software companies. Firms in the Beaverton and Hillsboro corridors actively hire analysts and have established visa sponsorship programs for qualified international candidates.
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About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.
Position Summary
This is a FT hybrid position based in Portland. The Pharmacy Operations Business Analyst serves as the technical and analytical resource for Pharmacy Operations, supporting the design, validation, monitoring, and continuous improvement of pharmacy operational processes, systems, and vendor performance. The role is responsible for analyzing pharmacy claims, validating benefit and formulary configuration, supporting operational implementations, developing reporting and monitoring tools, and identifying opportunities to improve operational efficiency, accuracy, and regulatory compliance.
Working closely with Pharmacy Operations leadership, Information Technology, Account Management, Compliance, vendor partners, and other business stakeholders, the Pharmacy Operations Business Analyst performs complex operational analysis, root cause investigations, data validation, configuration testing, and system support across Commercial, Exchange, Medicare, and Medicaid lines of business. The role plays a critical part in ensuring the accuracy of pharmacy benefit administration, supporting CMS reporting and audit activities, monitoring operational performance, and implementing sustainable controls that improve quality and reduce operational risk.
Pay Range
$59,922.05 - $74,902.56 annually (depending on experience).
Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.
Benefits:
- Medical, Dental, Vision, Pharmacy, Life, & Disability
- 401K- Matching
- FSA
- Employee Assistance Program
- PTO and Company Paid Holidays
Required Skills, Experience & Education:
- Bachelor's degree or equivalent combination of education and relevant experience in healthcare administration, business administration, pharmacy, information systems, or a related field.
- Five or more years of professional experience in pharmacy operations, pharmacy benefit management, health plan administration, or a closely related healthcare environment.
- Demonstrated knowledge of pharmacy benefit administration, pharmacy claims processing, benefit configuration, formulary management, prior authorization operations, and operational workflows.
- Experience analyzing complex operational data, pharmacy claims, system functionality, and business processes to identify issues, recommend solutions, and improve operational performance.
- Experience developing business requirements, coordinating system testing, validating system enhancements, and supporting operational implementations.
- Demonstrated knowledge of Commercial, Exchange, Medicare, and Medicaid pharmacy operations and applicable regulatory environments.
- Strong analytical, problem-solving, and root cause investigation skills with the ability to interpret complex operational and claims data.
- Demonstrated ability to manage multiple priorities, work independently, and successfully support concurrent operational initiatives.
- Strong written, verbal, presentation, and interpersonal communication skills, with the ability to communicate effectively with both business and technical stakeholders.
- Proficiency with Microsoft Office applications, particularly Excel, and experience working with pharmacy operational systems, reporting tools, or healthcare data platforms.
- Demonstrated ability to develop documentation, operational procedures, business requirements, and testing documentation.
Preferred Skills, Experience & Education:
- Experience supporting Medicare Part D operations, CMS reporting, audit activities, or regulatory compliance initiatives.
- Experience with PBM claims adjudication platforms, pharmacy benefit configuration, formulary management systems, or prior authorization platforms.
- Experience performing pharmacy claims analysis, configuration validation, benefit testing, or operational monitoring.
- Experience developing operational reporting, dashboards, data validation processes, or performance monitoring tools using SQL, Power BI, Tableau, or comparable reporting tools.
- Experience supporting vendor oversight, system implementations, operational readiness activities, or cross-functional process improvement initiatives.
- Experience conducting root cause investigations and developing operational controls to improve quality, compliance and operational performance.
Primary Functions
Operational Analysis & Monitoring
- Analyze pharmacy claims, operational data, and system activity to identify trends, operational issues, and opportunities for improvement.
- Conduct root cause investigations for claims discrepancies, operational issues, configuration concerns, and vendor-related incidents.
- Develop operational reporting, dashboards, and monitoring tools to measure performance, identify emerging risks, and support operational decision-making.
- Perform data validation and operational monitoring to ensure the accuracy and integrity of pharmacy operations across Commercial, Exchange, Medicare, and Medicaid lines of business.
Pharmacy Systems, Configuration & Testing
- Validate pharmacy benefit, formulary, network, and prior authorization configuration to ensure accurate claims adjudication and operational performance.
- Coordinate and perform benefit, formulary, and system testing supporting new client implementations, regulatory changes, operational enhancements, and vendor releases.
- Develop business requirements, test plans, test scenarios, and validation documentation while tracking issues through resolution.
- Partner with internal stakeholders and vendor partners to evaluate system enhancements, validate implementation outcomes, and recommend operational improvements.
Medicare Operations, Compliance & Vendor Oversight
- Support Medicare Part D operational activities, including CMS reporting support, operational monitoring, audit readiness, and regulatory compliance initiatives.
- Assist with internal and external audit activities through data validation, issue analysis, documentation, and corrective action support.
- Monitor vendor operational performance, validate deliverables, investigate discrepancies, and coordinate issue resolution with vendor partners.
- Develop and maintain operational controls that improve data integrity, regulatory compliance, and vendor accountability.
Process Improvement & Cross-Functional Support
- Identify opportunities to improve pharmacy operational processes through automation, standardization, enhanced reporting, and monitoring.
- Develop and maintain business requirements, operational procedures, process documentation, reporting specifications, and technical documentation supporting pharmacy operations.
- Provide analytical support for new client implementations, operational projects, system enhancements, and strategic initiatives.
- Collaborate with Pharmacy Operations, Clinical Pharmacy, Account Management, Information Technology, Compliance, Customer Service, and vendor partners to support operational excellence and continuous improvement.
Key Responsibilities
- Analyze pharmacy operational data to identify trends, risks, and opportunities for improvement.
- Perform claims analysis, configuration validation, and root cause investigations to support operational excellence.
- Develop reporting and monitoring solutions that improve operational visibility and oversight.
- Support operational implementations through requirements gathering, testing, validation, and post-implementation analysis.
- Ensure the accuracy and integrity of pharmacy operational systems through ongoing monitoring, testing, and data validation.
- Collaborate with internal teams and vendor partners to improve operational performance and resolve complex business issues.
- Support regulatory compliance, audit readiness, and continuous process improvement initiatives.
Working Conditions & Contact with Others:
- Remote, office environment, and/or hybrid with extensive close PC and keyboard work, and constant sitting. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business needs.
- Internally with Pharmacy Operations, Clinical Pharmacy, Account Management, Information Technology, Compliance, Customer Service, and other business departments and organizational leadership as required to support operational analysis, system enhancements, regulatory initiatives, and continuous process improvement. Externally with PBM, pharmacy technology and operational vendors, and external business partners.
Together, we can be more. We can be better.
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.
For more information regarding accommodations please direct your questions to Kristy Nehler and Danielle Baker via our humanresources@modahealth.com email.
Let’s do great things, together!
About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.
Position Summary
This is a FT hybrid position based in Portland. The Pharmacy Operations Business Analyst serves as the technical and analytical resource for Pharmacy Operations, supporting the design, validation, monitoring, and continuous improvement of pharmacy operational processes, systems, and vendor performance. The role is responsible for analyzing pharmacy claims, validating benefit and formulary configuration, supporting operational implementations, developing reporting and monitoring tools, and identifying opportunities to improve operational efficiency, accuracy, and regulatory compliance.
Working closely with Pharmacy Operations leadership, Information Technology, Account Management, Compliance, vendor partners, and other business stakeholders, the Pharmacy Operations Business Analyst performs complex operational analysis, root cause investigations, data validation, configuration testing, and system support across Commercial, Exchange, Medicare, and Medicaid lines of business. The role plays a critical part in ensuring the accuracy of pharmacy benefit administration, supporting CMS reporting and audit activities, monitoring operational performance, and implementing sustainable controls that improve quality and reduce operational risk.
Pay Range
$59,922.05 - $74,902.56 annually (depending on experience).
Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.
Benefits:
- Medical, Dental, Vision, Pharmacy, Life, & Disability
- 401K- Matching
- FSA
- Employee Assistance Program
- PTO and Company Paid Holidays
Required Skills, Experience & Education:
- Bachelor's degree or equivalent combination of education and relevant experience in healthcare administration, business administration, pharmacy, information systems, or a related field.
- Five or more years of professional experience in pharmacy operations, pharmacy benefit management, health plan administration, or a closely related healthcare environment.
- Demonstrated knowledge of pharmacy benefit administration, pharmacy claims processing, benefit configuration, formulary management, prior authorization operations, and operational workflows.
- Experience analyzing complex operational data, pharmacy claims, system functionality, and business processes to identify issues, recommend solutions, and improve operational performance.
- Experience developing business requirements, coordinating system testing, validating system enhancements, and supporting operational implementations.
- Demonstrated knowledge of Commercial, Exchange, Medicare, and Medicaid pharmacy operations and applicable regulatory environments.
- Strong analytical, problem-solving, and root cause investigation skills with the ability to interpret complex operational and claims data.
- Demonstrated ability to manage multiple priorities, work independently, and successfully support concurrent operational initiatives.
- Strong written, verbal, presentation, and interpersonal communication skills, with the ability to communicate effectively with both business and technical stakeholders.
- Proficiency with Microsoft Office applications, particularly Excel, and experience working with pharmacy operational systems, reporting tools, or healthcare data platforms.
- Demonstrated ability to develop documentation, operational procedures, business requirements, and testing documentation.
Preferred Skills, Experience & Education:
- Experience supporting Medicare Part D operations, CMS reporting, audit activities, or regulatory compliance initiatives.
- Experience with PBM claims adjudication platforms, pharmacy benefit configuration, formulary management systems, or prior authorization platforms.
- Experience performing pharmacy claims analysis, configuration validation, benefit testing, or operational monitoring.
- Experience developing operational reporting, dashboards, data validation processes, or performance monitoring tools using SQL, Power BI, Tableau, or comparable reporting tools.
- Experience supporting vendor oversight, system implementations, operational readiness activities, or cross-functional process improvement initiatives.
- Experience conducting root cause investigations and developing operational controls to improve quality, compliance and operational performance.
Primary Functions
Operational Analysis & Monitoring
- Analyze pharmacy claims, operational data, and system activity to identify trends, operational issues, and opportunities for improvement.
- Conduct root cause investigations for claims discrepancies, operational issues, configuration concerns, and vendor-related incidents.
- Develop operational reporting, dashboards, and monitoring tools to measure performance, identify emerging risks, and support operational decision-making.
- Perform data validation and operational monitoring to ensure the accuracy and integrity of pharmacy operations across Commercial, Exchange, Medicare, and Medicaid lines of business.
Pharmacy Systems, Configuration & Testing
- Validate pharmacy benefit, formulary, network, and prior authorization configuration to ensure accurate claims adjudication and operational performance.
- Coordinate and perform benefit, formulary, and system testing supporting new client implementations, regulatory changes, operational enhancements, and vendor releases.
- Develop business requirements, test plans, test scenarios, and validation documentation while tracking issues through resolution.
- Partner with internal stakeholders and vendor partners to evaluate system enhancements, validate implementation outcomes, and recommend operational improvements.
Medicare Operations, Compliance & Vendor Oversight
- Support Medicare Part D operational activities, including CMS reporting support, operational monitoring, audit readiness, and regulatory compliance initiatives.
- Assist with internal and external audit activities through data validation, issue analysis, documentation, and corrective action support.
- Monitor vendor operational performance, validate deliverables, investigate discrepancies, and coordinate issue resolution with vendor partners.
- Develop and maintain operational controls that improve data integrity, regulatory compliance, and vendor accountability.
Process Improvement & Cross-Functional Support
- Identify opportunities to improve pharmacy operational processes through automation, standardization, enhanced reporting, and monitoring.
- Develop and maintain business requirements, operational procedures, process documentation, reporting specifications, and technical documentation supporting pharmacy operations.
- Provide analytical support for new client implementations, operational projects, system enhancements, and strategic initiatives.
- Collaborate with Pharmacy Operations, Clinical Pharmacy, Account Management, Information Technology, Compliance, Customer Service, and vendor partners to support operational excellence and continuous improvement.
Key Responsibilities
- Analyze pharmacy operational data to identify trends, risks, and opportunities for improvement.
- Perform claims analysis, configuration validation, and root cause investigations to support operational excellence.
- Develop reporting and monitoring solutions that improve operational visibility and oversight.
- Support operational implementations through requirements gathering, testing, validation, and post-implementation analysis.
- Ensure the accuracy and integrity of pharmacy operational systems through ongoing monitoring, testing, and data validation.
- Collaborate with internal teams and vendor partners to improve operational performance and resolve complex business issues.
- Support regulatory compliance, audit readiness, and continuous process improvement initiatives.
Working Conditions & Contact with Others:
- Remote, office environment, and/or hybrid with extensive close PC and keyboard work, and constant sitting. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business needs.
- Internally with Pharmacy Operations, Clinical Pharmacy, Account Management, Information Technology, Compliance, Customer Service, and other business departments and organizational leadership as required to support operational analysis, system enhancements, regulatory initiatives, and continuous process improvement. Externally with PBM, pharmacy technology and operational vendors, and external business partners.
Together, we can be more. We can be better.
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.
For more information regarding accommodations please direct your questions to Kristy Nehler and Danielle Baker via our humanresources@modahealth.com email.
Business Systems Analyst Job Roles in Oregon
See all 236+ Business Systems Analyst Jobs in Oregon
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Search Business Systems Analyst Jobs in OregonBusiness Systems Analyst Jobs in Oregon: Frequently Asked Questions
Which companies in Oregon sponsor visas for business systems analysts?
Intel, Nike, and Precision Castparts are among Oregon's most active H-1B visa sponsors for business and systems analyst roles, based on Department of Labor disclosure data. Portland-area technology companies such as Daimler Trucks North America and a range of fintech firms also file LCA applications for analyst positions regularly. Sponsorship activity is concentrated in the Washington County tech corridor around Beaverton and Hillsboro.
Which visa types are most common for business systems analyst roles in Oregon?
The H-1B is the most common visa for business systems analysts in Oregon, as the role typically qualifies as a specialty occupation requiring at least a bachelor's degree in information systems, business administration, or a related field. Candidates already holding L-1B status through an intracompany transfer are also placed in analyst roles at Oregon's multinational employers. TN visa status is available for Canadian and Mexican nationals in qualifying analytical positions.
Which cities in Oregon have the most business systems analyst sponsorship jobs?
Portland accounts for the largest share of business systems analyst sponsorship activity in Oregon, driven by its concentration of corporate headquarters and regional offices. The Beaverton and Hillsboro suburbs form a secondary hub anchored by Intel's large campus, which regularly sponsors analysts across IT and operations functions. Salem and Eugene see limited but occasional sponsorship from state government contractors and university-affiliated organizations.
How to find business systems analyst visa sponsorship jobs in Oregon?
Migrate Mate is built specifically for international candidates seeking visa sponsorship and filters business systems analyst roles in Oregon by employers with a documented sponsorship history. Rather than sorting through general job listings, you can focus on companies that have filed Labor Condition Applications for analyst positions in the state. Searching Migrate Mate by role and location gives you a targeted list without the noise of postings from employers unlikely to sponsor.
Are there state-specific considerations for business systems analysts seeking sponsorship in Oregon?
Oregon does not impose state-level licensing requirements on business systems analysts, so the sponsorship process follows standard federal H-1B procedures. The prevailing wage for analyst roles in the Portland metropolitan area is set under DOL wage surveys and tends to reflect a competitive tech market, meaning employers must meet those thresholds in the Labor Condition Application. Oregon's large Intel presence also means the state has a well-established pipeline of international hires through university partnerships with Oregon State University and Portland State University.
What is the prevailing wage for sponsored business systems analyst jobs in Oregon?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.