FACETS Membership SME | Senior BSA – Enrollment & Billing

Sophus IT Solutions; Seattle (WA); Sur place; USD 120 000 - 160 000; Plein temps

Résumé du poste

Sophus IT Solutions seeks an experienced Business Systems Analyst (FACETS Membership) in Seattle to serve as SME for FACETS Membership, Enrollment, and Billing within a healthcare payer environment. You will gather, analyze, document, and validate complex requirements, collaborate with stakeholders and IT teams, and support regulatory mandates, upgrades, and FACETS modernization initiatives.

Strong SQL skills and backend data model knowledge are essential to deliver high-impact solutions.

Qualifications

• 10+ years of experience as a Business Systems Analyst or Business Analyst.
• Minimum 5+ years of hands-on experience with the TriZetto FACETS platform.
• Proven experience supporting complex FACETS implementations, regulatory mandates, and upgrade projects.
• Experience working with Blue Cross Blue Shield organizations.
• Experience supporting Healthcare regulatory and compliance initiatives.
• Familiarity with Agile delivery methodologies and tools such as JIRA, Azure DevOps, and ServiceNow.

Responsabilités

• 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, and billing needs and translate them into functional and technical requirements.
• Perform impact assessments for regulatory mandates, enhancement requests, system upgrades, and modernization programs.
• Analyze end-to-end Membership and Billing workflows to identify process improvements and optimization opportunities.
• Support FACETS implementation, migration, upgrade, and transformation 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, and operations 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, and billing-related issues.

Connaissances

Business Systems Analyst

FACETS Membership

SQL analysis

Outils

JIRA

Azure DevOps

ServiceNow

Description du poste

Sophus IT Solutions seeks an experienced Business Systems Analyst (FACETS Membership) in Seattle to serve as SME for FACETS Membership, Enrollment, and Billing within a healthcare payer environment. You will gather, analyze, document, and validate complex requirements, collaborate with stakeholders and IT teams, and support regulatory mandates, upgrades, and FACETS modernization initiatives.

Strong SQL skills and backend data model knowledge are essential to deliver high-impact solutions.