Senior FACETS Membership, Enrollment & Billing BSA

UST; Seattle (WA); On-site; USD 63,000 - 95,000; Full time

Job summary

UST is seeking an experienced Business Systems Analyst (BSA) - Membership with deep expertise in the TriZetto FACETS Membership platform, including Enrollment and Billing, within a Healthcare Payer BPM environment.

You will gather, analyze, document, and validate complex business and system requirements, perform impact assessments, support FACETS implementation and upgrades, and collaborate with stakeholders to design scalable solutions for membership, enrollment, and billing processes.

Qualifications

• 10+ years of experience as a Business Systems Analyst or Business Analyst.
• 5+ years of hands-on experience with the TriZetto FACETS platform.
• Extensive Healthcare Payer and Healthcare BPM/BPO domain experience.
• Proven experience supporting FACETS implementations, regulatory mandates, upgrade projects, process transformation initiatives, and modernization programs.
• Strong SQL skills with the ability to write complex queries for analysis, data validation, troubleshooting, and solution design.
• Strong communication and stakeholder management capabilities.
• Certifications like CBAP/CCBA/ PMI-PBA are preferred.
• Experience with healthcare regulatory and compliance initiatives; Agile delivery methodologies and tools such as JIRA, Azure DevOps, and ServiceNow.

Responsibilities

• Serve as primary BSA and SME for FACETS Membership, Enrollment, and Billing initiatives.
• Gather, analyze, document, and validate complex requirements.
• Translate membership, enrollment, billing needs into functional specifications.
• Perform impact assessments for regulatory mandates and upgrades.
• Analyze end-to-end Membership and Billing workflows for improvements.
• Support FACETS implementation, migration, upgrade, and transformation initiatives.
• Develop BRDs, functional specs, process flows, data mapping documents.
• Conduct root cause analysis and solution assessments for complex issues.
• Collaborate with development, QA, architecture, operations, and BPM delivery teams.
• Support UAT, defect triage, production validation, and post-implementation activities.
• Facilitate requirements workshops and stakeholder discussions.
• Provide production support for membership, enrollment, billing, and workflows.
• Drive continuous improvement and standardization across processes.

Skills

BSA/BA experience

FACETS Membership

Enrollment & Eligibility

Billing & Premium

SQL data analysis

Stakeholder management

Agile & Waterfall

Tools

JIRA

Azure DevOps

ServiceNow

Job description

UST is seeking an experienced Business Systems Analyst (BSA) - Membership with deep expertise in the TriZetto FACETS Membership platform, including Enrollment and Billing, within a Healthcare Payer BPM environment.

You will gather, analyze, document, and validate complex business and system requirements, perform impact assessments, support FACETS implementation and upgrades, and collaborate with stakeholders to design scalable solutions for membership, enrollment, and billing processes.