FACETS Provider BSA — Network, Pricing & Analytics

UST; Washington; On-site; USD 88,000 - 132,000; Full time

Benefits offered by this job

Paid vacation

Paid sick leave

Health insurance

401(k) with employer matching

Disability insurance

Job summary

UST, based in Washington, seeks a seasoned Business Systems Analyst (Consultant I) to own FACETS Provider, Network, and Pricing initiatives within healthcare payer programs. You will drive regulatory compliance, upgrades, and data-driven process improvements across the provider lifecycle.

The role requires deep FACETS knowledge, strong SQL, and collaboration with QA, architecture, and business teams throughout the SDLC. Competitive benefits accompany a full-time, Washington-based position.

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.
• Extensive Healthcare Payer domain experience.
• Proven experience supporting FACETS implementations, regulatory mandates, and upgrade initiatives.

Responsibilities

• Serve as the primary Business Systems Analyst and SME for FACETS Provider, Network, and Pricing initiatives.
• Drive strategic Healthcare Payer initiatives, FACETS implementations, regulatory mandates, system enhancements, and upgrade programs.
• Analyze end-to-end provider lifecycle processes, including provider setup, credentialing integrations, contracting, network participation, and reimbursement methodologies.
• Perform impact analysis for regulatory mandates, enhancements, system upgrades, and modernization initiatives.
• Develop business requirements documents, functional specifications, process flows, use cases, and data mapping documentation.
• Create functional specifications, business rules, and gap analysis documentation.
• Support FACETS implementation, migration, upgrade, and transformation programs.
• Partner with development, QA, architecture, and support teams throughout the SDLC lifecycle.
• Support User Acceptance Testing (UAT), defect triage, deployment validation, and post-production support activities.

Skills

FACETS Provider Module

SQL

Business Analysis

Provider Network Management

Pricing Configuration

Tools

JIRA

Azure DevOps

ServiceNow

Job description

UST, based in Washington, seeks a seasoned Business Systems Analyst (Consultant I) to own FACETS Provider, Network, and Pricing initiatives within healthcare payer programs. You will drive regulatory compliance, upgrades, and data-driven process improvements across the provider lifecycle.

The role requires deep FACETS knowledge, strong SQL, and collaboration with QA, architecture, and business teams throughout the SDLC. Competitive benefits accompany a full-time, Washington-based position.