Job Title: Principal Business Systems Analyst
*No C2C/ No Sponsorship/ No 1099*
Location: Remote
Position Type: 12+ Month Contract
Pay rate range: $60-69/hr W2 Only
MUST HAVE 10+ YEARS EXPERIENCE
- Facets tool Knowledge with deep understanding of Medical Product configuration, Group/member enrollment, provider network config and claims.
- Good understanding of Facets data Model.
- Microsoft SQL.
- MS Excel
Breakdown of Duties/Typical Day:
1.Facets Product Configuration Analyst Duration: Mid-September 2026 – December 2027
- Document detailed Facets product configuration requirements (BCRs), including benefit codes, exceptions, provider tiering, and benefit administration rules.
- Develop detailed configuration design documents that translate business requirements into Facets system setup specifications.
- Create and maintain requirements-to-test traceability to ensure all requirements are fully validated through testing.
2.Facets Workflow Configuration Analyst
- Partner with Claims, UM, Care Management, and Service teams to gather detailed requirements for claims routing, exception handling, and manual review processes.
- Develop detailed Facets workflow design documents, build configurations, and support claims and service testing activities.
JOB DESCRIPTION
System Configuration
- Lead the Facets configuration and maintenance of most complex and highly critical system tables and data elements across multiple system environments
- Lead the analysis, development and implementation of configuration changes to improve system performance and user efficiency
- Coordinate and monitor configuration for accuracy and compliance to change control processes.
- Own the end to end delivery of projects assigned to - this involves requirement documentation, design completion, Facets build delivery and test support.
Technical Support/Business Expertise
- Provide significant business acumen (breadth and depth) and global technical expertise in critical systems/applications to support proactive Facets configuration solutioning for highly complex and varied business issues, while considering broader impacts of technical decisions to the current and future state business environment.
- Act as domain SME for IT projects to help map their data needs to Facets configuration applications.
- Act as configuration SME to triage any Facets integration solutions developed by IT partners
- Lead the review, analysis and development of solutions for highly critical business systems, which may have impacts across multiple business areas or systems/applications.
- Review the test scenarios, give feedback to testers; review claims test results; sometimes perform shadow testing to ensure complex configuration solution is working as we expect.
- Leads work groups in assessment of business issues and facilitates the resolution of most complex or broad system/application problems by:
- Coordinating initial triage for severity and business impact of system/application failures.
- Leading the troubleshooting and analysis necessary to determine root cause of issues.
- Coordinating the development of applicable business processes and solutions, to ensure quality, cost effectiveness, timeliness of customer service, and regulatory requirements and mandates are met.
- End to end issue resolution support, like claims remediation support, impact analysis, process updates etc.