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Location
In office (Carlsbad)
Seniority
Senior
Visa
No sponsorship (stated in the posting)
Employment
Full-Time

Confirmed on the employer's own hiring board on Nov 3, 2026. First seen by Alion on Oct 1, 2026. ATEC Spine scores A on the Alion truth index.

Overview
Company
Impact
Profile match
ATEC Spine, the operating brand of Alphatec Holdings, is a medical technology company founded in 1990 that develops spinal surgery implants, instruments and enabling technology. Its portfolio covers fusion implants, alignment and surgical planning software, neuromonitoring, imaging and robotics and navigation systems sold to spine surgeons and hospitals across the United States, and it is listed on Nasdaq. The company is headquartered in Carlsbad, California, United States.

The Senior Business Systems Analyst supports, configures, and improves business processes in SAP S/4HANA, with a primary focus on end-to-end Order-to-Cash (OTC), including customer order management, pricing, fulfillment, billing, and returns. The role partners with business stakeholders to translate requirements into system solutions, resolve operational issues, and improve process efficiency across Finance, Supply Chain, Customer Service, Sales Operations, and Warehouse Operations.

The ideal candidate combines hands-on SAP S/4HANA configuration and troubleshooting skills with strong business analysis, cross-functional collaboration, and ownership of complex system enhancements and production support.

Essential Duties and Responsibilities

  • Own functional support and continuous improvement of the end-to-end OTC process in SAP S/4HANA, from customer sales order creation and pricing through availability checks, delivery, billing, returns, and integration with accounts receivable.
  • Configure and maintain customer and sales master data, sales document types, item categories, schedule lines, pricing conditions, output, and copy control to support accurate order processing and billing.
  • Analyze and resolve OTC issues affecting pricing, order entry, credit checks, backorder processing, fulfillment, invoicing, and customer service; identify root causes and implement sustainable fixes.
  • Own functional requirements for sales and inventory interfaces, including data mapping, transaction flows, error handling, reconciliation, and monitoring.
  • Serve as the IT liaison with business partners for the integration of medical software that supports clinical workflows and related product needs. Define requirements for sharing sales and inventory information with SAP S/4HANA so teams can coordinate orders, fulfillment, and inventory visibility.
  • Partner with developers, medical software stakeholders, and business teams to design, test, and support the exchange of relevant customer, product, sales order, fulfillment, and inventory data within the approved integration scope.
  • Work with Supply Chain and Warehouse Operations on SAP Inventory Management and EWM integration, including deliveries, goods movements, inventory adjustments, and stock transfers. Support MyMediSet activities for surgical case booking, set administration and tracking, field inventory visibility and reconciliation, sales order coordination, and returns; investigate inventory and fulfillment discrepancies across systems.
  • Collaborate with Customer Service, Sales Operations, Supply Chain, Warehouse Operations, and Finance to maintain end-to-end order-to-cash and fulfillment processes.
  • Coordinate with Finance analysts to ensure invoices, credit and debit memos, revenue postings, and inventory accounting transactions flow accurately through the OTC process; resolve related posting and reconciliation issues.
  • Work with ABAP and integration teams on SAP Integration Suite/CPI, IDocs, APIs, and other applicable interface technologies; document functional specifications and validate technical solutions.
  • Gather business requirements, assess SAP standard capabilities, propose configuration or interface changes, and maintain functional and process documentation.
  • Lead or support unit, integration, regression, and user acceptance testing; prepare test cases, validate interface results, coordinate defect resolution, and support cutover and post-go-live stabilization.
  • Participate in SAP releases, enhancements, and upgrades, including impact assessment, change control, training materials, and production support.

Requirements

  • At least three years of hands-on SAP experience, including SAP S/4HANA configuration, production support, and ownership of OTC processes.
  • Strong understanding of end-to-end OTC processes, including customer orders, pricing, availability checks, delivery processing, billing, returns, and integration with Finance, Inventory Management, and SAP EWM.
  • Experience defining and supporting sales and inventory interfaces with external applications, including data mapping, monitoring, reconciliation, and error resolution.
  • Ability to lead business discussions, translate requirements into functional specifications, and coordinate with developers, integration teams, vendors, and business partners.
  • Experience with IDocs, APIs, and SAP Integration Suite/CPI or comparable SAP integration technologies.
  • Strong analytical, communication, documentation, and testing skills; ability to manage multiple priorities and investigate issues across systems.
  • Experience in medical devices, life sciences, or another regulated environment preferred.
  • Experience integrating SAP with medical software, healthcare workflows, or other external business applications preferred.
  • SAP S/4HANA certification relevant to OTC business processes and familiarity with Jira or similar delivery tools preferred.

Education and/or Experience:

  • Bachelor's Degree or equivalent combination of education and experience.
  • 5 years experience in SAP business systems, including SAP S/4 HANA and OTC experience.
  • Previous Systems Analyst experience desired.
  • Demonstrates ongoing training and education in SAP S/4HANA, OTC processes, and business systems analysis.

Equal Employment Opportunity & Other Disclosures

ATEC is committed to providing equal employment opportunities to its employees and applicants without regard to race, color, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, or any other protected status in accordance with all applicable federal, state or local laws. Further, ATEC will make reasonable accommodations that are necessary to comply with disability discrimination laws.

For roles based in the United States that require access to hospital facilities, must be eligible for and maintain credentials at all required hospitals, including meeting any applicable physical requirements or vaccination requirements (including the COVID-19 vaccine, as applicable).

At this time, ATEC Spine does not sponsor employment visas for this position. Candidates must be authorized to work in the United States without the need for current or future employer sponsorship.

Salary Range

Alphatec Spine, Inc. complies with state and federal wage and hour laws and compensation depends upon candidate’s qualifications, education, skill set, years of experience, and internal equity. $100,000 - $130,000 Full-Time Annual Salary

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