FACETS Business Systems Analyst — Healthcare Payer Expert

Amtex Systems Inc; Seattle (WA); On-site; USD 110,000 - 170,000; Full time

Job summary

Amtex Systems Inc is seeking an experienced Business Systems Analyst (FACETS) in Seattle to lead analytics and functional design for FACETS Membership, Enrollment, and Billing within the healthcare payer sector. The role requires deep knowledge of FACETS, advanced SQL skills, and experience supporting BPM, regulatory initiatives, and platform modernization.

You will translate business needs into technical solutions, collaborate with stakeholders, and drive process improvements.

Qualifications

• Experience as a Business Systems Analyst or Business Analyst.
• Hands-on experience with TriZetto FACETS.
• Healthcare payer BPM/BPO domain experience.
• Expertise in FACETS Membership, Enrollment, Eligibility, Billing, and Premium Management.
• Strong understanding of FACETS batch processing, backend data models, and front-end functionality.
• Advanced SQL skills for complex queries, data analysis, and troubleshooting.
• Experience with requirements gathering, business process analysis, and functional documentation.
• Experience supporting system enhancements, upgrades, regulatory changes, and transformation initiatives.

Responsibilities

• Serve as a subject matter expert for FACETS Membership, Enrollment, Eligibility, and Billing.
• Gather and document business requirements, functional specifications, business rules, and process flows.
• Analyze healthcare payer workflows and translate business needs into technical solutions.
• Support FACETS implementations, upgrades, migrations, regulatory mandates, and modernization initiatives.
• Perform advanced SQL queries for data analysis, validation, troubleshooting, and root cause analysis.
• Analyze FACETS batch processing, backend data models, and front-end functionality.
• Identify opportunities to improve business processes, operational efficiency, and workflow performance.
• Collaborate with business stakeholders, developers, QA, operations, and BPM teams.
• Support UAT, defect triage, production validation, and post-implementation activities.
• Drive process standardization, SLA adherence, and continuous improvement initiatives.

Skills

FACETS Membership

SQL analysis

BPM knowledge

Requirements gathering

Stakeholder management

Tools

TriZetto FACETS

SQL scripting

Job description

Amtex Systems Inc is seeking an experienced Business Systems Analyst (FACETS) in Seattle to lead analytics and functional design for FACETS Membership, Enrollment, and Billing within the healthcare payer sector. The role requires deep knowledge of FACETS, advanced SQL skills, and experience supporting BPM, regulatory initiatives, and platform modernization.

You will translate business needs into technical solutions, collaborate with stakeholders, and drive process improvements.