Business Systems Analyst

ProKatchers LLC; Mountlake Terrace (WA); On-site; USD 110,000 - 150,000; Full time

Job summary

ProKatchers LLC in the United States is seeking a senior Business Systems Analyst with 10+ years of BA/BSA experience and 5+ years of hands-on TriZetto FACETS expertise, focusing on Healthcare Payer Membership, Enrollment, Billing, and BPM/BPO operations.

You will gather requirements, design functional specifications, analyze FACETS workflows, perform advanced SQL analyses, and collaborate with business, technical, QA, and BPM teams to optimize processes and support UAT and regulatory changes.

Qualifications

• 10+ years of BA/BSA experience.
• 5+ years of hands-on TriZetto FACETS experience.
• Strong Healthcare Payer domain knowledge.
• FACETS Membership, Enrollment, Eligibility, and Billing expertise.
• Advanced SQL, requirements gathering, and data mapping.

Responsibilities

• Gather requirements and create functional specs and data mappings.
• Analyze FACETS Membership, Enrollment, Eligibility, and Billing workflows.
• Conduct advanced SQL analysis and troubleshoot root causes.
• Support FACETS implementations, upgrades, regulatory changes, and UAT.
• Collaborate with business, technical, QA, and BPM teams to optimize processes.

Skills

BA/BSA Experience

TriZetto FACETS

Healthcare Payer Domain

SQL Analytics

Stakeholder Management

Job description

Eligibility & Billing Management, Advanced SQL, Data Analysis, Business Requirements Gathering & Documentation, Healthcare BPM/BPO Processes, Business Process Analysis & Optimization, Root Cause Analysis & Troubleshooting, UAT Testing, Stakeholder Management

Job Category : Information Technology

Industry : HealthCare, Hospital, Telecom, Personal Care Manufacturing, Consumer Product Goods, Luxury Products, Retail, E-Commerce, Medical Device, Pharma, Biotech, Bank, Finance, Information Technology, IT Services and Consulting, Technology, Information and Media, Software Development, Telecommunication, Medical Device, Pharma, Biotech, Technology, Food, Restaurant, Consumer Services, Food and Beverages, CPG

Summary:

We are seeking a senior Business Systems Analyst with 10+ years of BA/BSA experience and 5+ years of hands-on TriZetto FACETS experience, specializing in Healthcare Payer Membership, Enrollment, Billing, and BPM/BPO operations.

Key Responsibilities:

• Gather requirements and create functional specifications, process flows, and data mappings.
• Analyze FACETS Membership, Enrollment, Eligibility, and Billing workflows.
• Perform advanced SQL analysis, troubleshooting, and root cause analysis.
• Support FACETS implementations, upgrades, regulatory changes, modernization, and UAT.
• Collaborate with business, technical, QA, and BPM teams to optimize processes.

Must-Have Skills:

• 10+ years of BA/BSA experience.
• 5+ years of hands-on TriZetto FACETS experience.
• Strong Healthcare Payer and BPM/BPO domain knowledge.
• FACETS Membership, Enrollment, Eligibility, and Billing expertise.
• Advanced SQL, requirements gathering, process analysis, and stakeholder management