Healthcare Regulatory & Facets Analyst

Ethereum Technologies; Raleigh (NC); On-site; USD 90,000 - 120,000; Full time

Job summary

Ethereum Technologies is seeking an experienced Business/Regulatory Analyst in Raleigh to interpret state mandates within the healthcare payer domain and translate them into actionable business and system requirements. You will maintain end-to-end traceability from regulatory intent through design, testing, and validation.

The role requires strong experience in regulatory analysis within healthcare payers, with deep knowledge of Facets and related systems.

Qualifications

• Strong experience as a Business Analyst or Regulatory Analyst within the healthcare payer domain.
• Good working knowledge of TriZetto Facets.
• Strong understanding of healthcare payer functions, particularly:

Responsibilities

• Analyze and interpret state mandates, regulatory requirements, and healthcare payer business needs.
• Translate regulatory requirements into clear business, functional, and system requirements.
• Perform impact analysis across Facets, Claims, Eligibility, Enrollment, applications, data, and integrations.
• Partner with business stakeholders, Solution Architects, Engineers, QA teams, and compliance/regulatory teams.
• Develop user stories, business rules, acceptance criteria, process flows, and requirement documentation.
• Maintain requirements traceability from the original regulatory mandate through design, development, testing, and final validation.
• Identify gaps, dependencies, risks, and impacted business processes or systems.
• Support requirement walkthroughs and clarify requirements throughout the development lifecycle.
• Work with QA teams to ensure test scenarios and acceptance criteria adequately cover regulatory requirements.
• Support implementation readiness and validation of regulatory changes.

Skills

Business Analyst

Regulatory Analyst

Healthcare payer domain

Tools

TriZetto Facets

Job description

Ethereum Technologies is seeking an experienced Business/Regulatory Analyst in Raleigh to interpret state mandates within the healthcare payer domain and translate them into actionable business and system requirements. You will maintain end-to-end traceability from regulatory intent through design, testing, and validation.

The role requires strong experience in regulatory analysis within healthcare payers, with deep knowledge of Facets and related systems.