Senior FACETS BSA for Healthcare Payer & Network

UST; Bellevue (WA); On-site; USD 88,000 - 132,000; Full time

Benefits offered by this job

401(k) Match

Healthcare benefits

Paid time off

Job summary

UST seeks an experienced Business Systems Analyst (Provider FACETS) to serve as the SME for FACETS Provider, Network, and Pricing initiatives in the Washington region. The role focuses on driving FACETS implementations, regulatory upgrades, and end-to-end provider lifecycle analysis.

The candidate will develop detailed business requirements, data mappings, and functional specs, collaborating across SDLC teams, supporting UAT, and ensuring successful product delivery with Agile and Waterfall

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 complex 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

Provider Network Management

Pricing Configuration

SQL

Contracting & Reimbursement Models

Requirements Elicitation

Documentation

Stakeholder Management

Agile & Waterfall Delivery

Job description

UST seeks an experienced Business Systems Analyst (Provider FACETS) to serve as the SME for FACETS Provider, Network, and Pricing initiatives in the Washington region. The role focuses on driving FACETS implementations, regulatory upgrades, and end-to-end provider lifecycle analysis.

The candidate will develop detailed business requirements, data mappings, and functional specs, collaborating across SDLC teams, supporting UAT, and ensuring successful product delivery with Agile and Waterfall