Senior Facets & Enterprise Systems Analyst (Hybrid)

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

Job summary

Blue Cross NC is seeking a senior systems analyst to drive end-to-end requirements elaboration and functional design for enterprise-wide health insurance solutions. You will translate business requirements into technical designs and ensure quality, cost effectiveness, and timeliness across multiple units.

The role requires strong experience with payer systems, enrollment functions, and Trizetto Facets, with a focus on complex, enterprise-scale deployments and cross-domain collaboration.

Qualifications

• Bachelor's degree or advanced degree required.
• 8+ years of experience in related field.
• Trizetto Facets enrollment, billing and /or claims required.
• Strong knowledge with payer systems and enrollment functions, processing and automation.

Responsibilities

• Facilitate and influence the design, construction, deployment, and ongoing maintenance of specific complex technical solutions through design documents, gap analysis, business rule and data mapping management, risk assessment, traceability mapping and financial and timeline constraints to balance ROI.
• Elaborate business requirements, rules, and data elements into functional designs that are both complex in nature and enterprise oriented.
• Conduct systems analysis to validate designs. Perform or facilitate reverse engineering of code when required.
• Prioritize requirements through negotiation, release and phase management techniques and systems analysis techniques and tools.
• Create and document functional designs of business solutions. Ensure end-to-end traceability through appropriate artifacts.

Skills

Payer systems knowledge

Enrollment functions

Data processing

Education

Bachelor's degree or advanced degree

Tools

Trizetto Facets

Job description

Blue Cross NC is seeking a senior systems analyst to drive end-to-end requirements elaboration and functional design for enterprise-wide health insurance solutions. You will translate business requirements into technical designs and ensure quality, cost effectiveness, and timeliness across multiple units.

The role requires strong experience with payer systems, enrollment functions, and Trizetto Facets, with a focus on complex, enterprise-scale deployments and cross-domain collaboration.