Business Systems Analyst with FACETS

E-Solutions; Seattle (WA); On-site; USD 120,000 - 170,000; Full time

Job summary

E-Solutions is seeking a seasoned Business Systems Analyst to own FACETS Membership, Enrollment, and Billing initiatives in a Healthcare Payer context. You will gather and validate complex requirements and collaborate with cross-functional teams to translate business needs into technical designs.

Ideal candidates bring 10+ years as a BA/BSA, 5+ years on TriZetto FACETS, and deep experience with BPM, data mapping, and regulatory compliance. On-site in Seattle; long-term contract.

Qualifications

• 10+ years of experience as a Business Systems Analyst or Business Analyst.
• Minimum 5+ years on TriZetto FACETS platform.
• Extensive Healthcare Payer and BPM/BPO domain experience.
• Experience supporting FACETS implementations, regulatory mandates, upgrades, and modernization programs.

Responsibilities

• Serve as the primary BSA for FACETS Membership, Enrollment, and Billing initiatives.
• Gather, analyze, document, and validate complex business and system requirements.
• Collaborate with stakeholders to translate requirements into functional and technical designs.
• Perform impact assessments for regulatory mandates, enhancements, upgrades, and BPM transformation.

Skills

FACETS Membership

FACETS Front-End Functionality

FACETS Batch Processing

SQL

Education

CBAP (Certified Business Analysis Professional)

CCBA (Certification of Capability in Business Analysis)

PMI-PBA (Professional in Business Analysis)

Tools

JIRA

Azure DevOps

ServiceNow

Job description

Job Title: Business Systems Analyst (FACETS Membership) – Healthcare Payer & BPM

Location: United States – Seattle, Washington (No Remote)

Duration: Long Term Contract

What You'll Do

• Serve as the primary Business Systems Analyst and SME for FACETS Membership, Enrollment, and Billing initiatives.
• Gather, analyze, document, and validate complex business and system requirements.
• Collaborate with business stakeholders to understand membership, enrollment, billing, and operational process needs and translate them into functional and technical
• Requirements
• Perform impact assessments for regulatory mandates, enhancement requests, system upgrades, modernization programs, and BPM transformation initiatives.
• Analyze end-to-end Membership and Billing workflows to identify process improvements, operational efficiencies, and optimization opportunities.
• Support FACETS implementation, migration, upgrade, transformation, and process improvement initiatives.
• Develop business requirements documents, functional specifications, process flows, use cases, and data mapping documents.
• Conduct root cause analysis and solution assessments for complex business and system issues.
• Work closely with development, QA, architecture, operations, and BPM delivery teams during design, testing, deployment, and support phases.
• Support User Acceptance Testing (UAT), defect triage, production validation, and post-implementation activities.
• Facilitate requirements workshops, stakeholder discussions, and solution review sessions.
• Provide production support expertise for membership, enrollment, billing, and operational workflow-related issues.
• Partner with business and BPM stakeholders to drive continuous improvement, operational excellence, and process standardization initiatives.

Required Qualifications

Experience

• 10+ years of experience as a Business Systems Analyst or Business Analyst.
• Minimum 5+ years of hands-on experience with the TriZetto FACETS platform.
• Extensive Healthcare Payer and Healthcare BPM/BPO domain experience.
• Proven experience supporting complex FACETS implementations, regulatory mandates, upgrade projects, process transformation initiatives, and modernization programs.

Required Skills

• FACETS Membership
• FACETS Front-End Functionality
• FACETS Batch Processing

Functional Skills

• Strong understanding of Healthcare Payer membership lifecycle processes and BPM operational workflows.
• Advanced SQL skills with the ability to write complex queries for analysis, data validation, troubleshooting, and solution design.
• Experience analyzing membership, enrollment, billing, eligibility, premium-related business processes, and operational workflows.
• Strong requirements gathering, business process analysis, process optimization, and solutioning skills.
• Experience creating functional specifications, business rules, process documentation, and system documentation.
• Strong communication and stakeholder management capabilities.
• Ability to bridge business, technical, and BPM operations teams to deliver scalable solutions.
• Experience supporting operational excellence, workflow optimization, SLA adherence, and process governance initiatives.

Preferred Qualifications

• Business Analysis Certifications
• CBAP (Certified Business Analysis Professional)
• CCBA (Certification of Capability in Business Analysis)
• PMI-PBA (Professional in Business Analysis)
• Additional Preferred Experience
• Experience supporting Healthcare regulatory and compliance initiatives.
• Familiarity with Agile delivery methodologies and tools such as JIRA, Azure DevOps, and ServiceNow.
• Exposure to Claims, Provider, and Core FACETS Administration functions.
• Experience working in Healthcare BPM/BPO environments.
• Experience supporting business process transformation, automation, and continuous improvement programs.
• FACETS Subject Matter Expertise
• Complex SQL & Data Analysis
• Requirements Elicitation & Documentation
• Business Process Modeling
• BPM Process Analysis & Optimization
• Solution Design & Validation
• Stakeholder Management
• Operational Excellence & Continuous Improvement