Facets Systems Analyst - Enterprise Enrollment Hybrid/Remote

Blue Cross and Blue Shield of North Carolina; Missouri; Hybrid; USD 119,000 - 190,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

401(k) with employer match

Tuition reimbursement

Job summary

Blue Cross and Blue Shield of North Carolina is seeking a senior business systems analyst to drive end-to-end requirements elaboration and system functional design for enterprise-wide health care solutions. You will work with business clients and technology partners to translate needs into effective technical designs.

The role requires 8+ years in the field, Trizetto Facets enrollment/claims experience, and strong payer systems knowledge.

Qualifications

• Bachelor's degree or advanced degree preferred; 8+ years experience in health care IT or related field.
• Trizetto Facets enrollment, billing and/or claims experience required.
• Strong knowledge of payer enrollment, processing and automation.

Responsibilities

• Facilitate end-to-end requirements elaboration and functional design for enterprise health care solutions.
• Create and maintain functional design artifacts, data mapping, and business rules with cross-domain teams.
• Translate business needs into technical solutions, ensuring alignment with architecture and portfolio goals.
• Lead scope management, prioritize requirements, and ensure timely, cost-effective delivery of solutions.

Skills

Experience in field

Payer systems knowledge

Requirements gathering

Education

Bachelor's degree or higher

Tools

EDI 834

Job description

Blue Cross and Blue Shield of North Carolina is seeking a senior business systems analyst to drive end-to-end requirements elaboration and system functional design for enterprise-wide health care solutions. You will work with business clients and technology partners to translate needs into effective technical designs.

The role requires 8+ years in the field, Trizetto Facets enrollment/claims experience, and strong payer systems knowledge.