Healthcare System Analyst – Payer Systems

ClinDCast, LLC; Wesley Chapel (FL); Hybride; USD 70 000 - 110 000; Plein temps

Résumé du poste

ClinDCast, LLC is seeking a Healthcare System Analyst to leverage strong Facets expertise, understand payer processes, and own data-driven issue resolution. You will work with cross-functional teams to analyze benefits and claims, and translate requirements into functional specifications.

The role emphasizes hands-on Facets from a system analyst/developer perspective, including data models, architecture, and end-to-end workflow improvements, with a strong focus on SQL and production issue

Qualifications

• Strong knowledge of healthcare payer processes including Eligibility & Enrollment, Provider Contract Pricing, Claims Adjudication, Billing, Appeals & Grievances.
• Hands-on Facets System Analyst experience from a developer perspective covering data models, architecture, benefits, claims, and end-to-end process flows.
• Proficient in SQL; .NET / Full-Stack development experience is preferred.

Responsabilités

• Collaborate with business and technical teams to gather requirements and prepare functional and technical documentation.

Connaissances

SQL

Business analysis

Requirements gathering

Production issue ownership

Outils

Facets System Analyst

Data modeling

Full-Stack data/tools

Description du poste

Job Description:

Job Description:

• Seeking a Healthcare System Analyst with strong knowledge of healthcare payer processes, including Eligibility & Enrollment, Provider Contract Pricing, Claims Adjudication, Billing, Appeals & Grievances.
• Strong hands-on experience with Facets from a System Analyst/Developer perspective, including data models, architecture, benefits, claims, and end-to-end process flows.
• Strong SQL skills; .NET / Full-Stack development experience is preferred.
• Experience troubleshooting complex production issues, performing data analysis, and owning issues through resolution.
• Ability to work closely with business and technical teams to gather requirements and prepare functional and technical documentation.
• Strong understanding of Facets benefits and claims is highly preferred.

Key Requirement:
Candidates should have hands-on Facets System Analyst experience, deep Benefits & Claims knowledge, strong SQL/data troubleshooting skills, and proven ownership of real-world production issues.