Business Systems Analyst

Machine Learning Technologies, LLC; Seattle (WA); Presencial; USD 83.000 - 117.000; Jornada completa

Descripción de la vacante

Machine Learning Technologies, LLC in Seattle, WA seeks an experienced Senior Business Systems Analyst with deep FACETS expertise to lead Healthcare Payer initiatives, specifically Membership, Enrollment, Eligibility and Billing modules.

You will gather requirements, document business rules, perform impact analyses for regulatory changes, support FACETS implementations, migrations, upgrades and production support, coordinate UAT, and collaborate closely with business stakeholders, developers, QA

Formación

• 10+ years of experience in Business Systems Analysis.
• Minimum 5+ years of hands-on FACETS experience.
• Strong experience in Healthcare Payer business processes.
• Onsite work in Seattle, WA.
• Excellent communication and stakeholder management.

Responsabilidades

• Act as SME for FACETS Membership, Enrollment, Eligibility, and Billing.
• Gather, analyze, and document business and technical requirements.
• Translate business requirements into functional specifications and data mappings.
• Perform impact analysis for regulatory changes, system upgrades, and enhancements.
• Develop business process documents, workflow diagrams, business rules, and data mapping specifications.
• Analyze membership enrollment, eligibility, and billing workflows.
• Perform root cause analysis and troubleshoot complex issues.
• Work with FACETS front-end, batch processing, and backend data models.
• Write and execute advanced SQL queries for data validation and troubleshooting.
• Support FACETS implementations, migrations, upgrades, and enhancements.
• Coordinate UAT and defect resolution.
• Collaborate with development, QA, business, and production support teams.
• Participate in Agile/Scrum ceremonies and manage requirements using Jira.

Conocimientos

Advanced SQL

FACETS front-end

FACETS backend

TriZetto FACETS

Healthcare payer

UAT coordination

Jira/Agile

Stakeholder management

Requirements gathering

Herramientas

FACETS

Jira

Descripción del empleo

US Citizen, Green Card, H-1B, OPT-EAD, CPT, Other

Job Title: Business Systems Analyst
Location: Seattle, WA
Duration: 12 Months + Extension
Bill Rate: $68/hour
Job Type: W-2, 1099, C2C
Client: To Be Discussed Later
Work Authorization: US-Citizen, H-1B, OPT-EAD, GC-EAD

Job Description

We are seeking an experienced Senior Business Systems Analyst (BSA) with strong expertise in the Healthcare Payer domain and hands-on experience with TriZetto FACETS, specifically in Membership, Enrollment, Eligibility, and Billing modules.

The ideal candidate will have extensive experience analyzing healthcare business processes, gathering requirements, performing impact assessments, and supporting FACETS implementations, enhancements, migrations, and production support.

The candidate must possess strong SQL skills, excellent analytical abilities, and the ability to work closely with business stakeholders, developers, QA teams, and operations teams.

• Act as a Subject Matter Expert (SME) for FACETS Membership, Enrollment, Eligibility, and Billing functionalities.
• Gather, analyze, and document business and technical requirements.
• Translate business requirements into functional specifications and technical documentation.
• Perform impact analysis for regulatory changes, system upgrades, and application enhancements.
• Develop business process documents, workflow diagrams, business rules, and data mapping specifications.
• Analyze membership enrollment, eligibility, and billing workflows.
• Perform root cause analysis and troubleshoot complex business and system issues.
• Work with FACETS front-end functionality, batch processing, and backend data models.
• Write and execute advanced SQL queries for data validation, analysis, and troubleshooting.
• Support FACETS implementations, system migrations, upgrades, and enhancements.
• Coordinate User Acceptance Testing (UAT) and support defect resolution.
• Collaborate with development, QA, business, and production support teams.
• Participate in Agile/Scrum ceremonies and manage requirements using Jira.
• FACETS Membership and Enrollment
• Eligibility and Billing
• Business Systems Analysis (BSA)
• Claims Analysis
• Advanced SQL
• FACETS Front-End Functionality
• FACETS Batch Processing
• Requirements Gathering and Documentation
• Functional Specifications and Data Mapping
• Jira and Agile Methodology
• UAT and Production Support
• 10+ years of experience in Business Systems Analysis.
• Minimum 5+ years of hands-on experience with TriZetto FACETS.
• Strong experience in Healthcare Payer business processes.
• In-depth knowledge of Membership, Enrollment, Eligibility, and Billing.
• Experience with FACETS front-end, batch processing, and backend data structures.
• Advanced SQL skills for data analysis and troubleshooting.
• Experience supporting implementations, migrations, upgrades, and UAT.
• Excellent communication, analytical, and stakeholder management skills.
• Ability to work onsite in Seattle, WA.
• Blue Cross Blue Shield (BCBS) experience.
• FACETS Claims, Provider, and Administration modules.
• Healthcare regulatory and compliance knowledge.

Required Technical Skills:

• FACETS Membership and Enrollment
• Eligibility and Billing
• Business Systems Analysis (BSA)
• Claims Analysis
• Advanced SQL
• FACETS Front-End Functionality
• FACETS Batch Processing
• Requirements Gathering and Documentation
• Functional Specifications and Data Mapping
• Jira and Agile Methodology
• UAT and Production Support

Required Qualifications:

• Minimum 5+ years of hands-on experience with TriZetto FACETS.
• Strong experience in Healthcare Payer business processes.
• In-depth knowledge of Membership, Enrollment, Eligibility, and Billing.
• Experience with FACETS front-end, batch processing, and backend data structures.
• Advanced SQL skills for data analysis and troubleshooting.
• Experience supporting implementations, migrations, upgrades, and UAT.