Senior Healthcare Payer Regulatory & Facets Analyst

Valiant Technologies LLC; Raleigh (NC); Presencial; USD 90.000 - 120.000; Jornada completa

Descripción de la vacante

Valiant Technologies LLC is seeking an experienced Business/Regulatory Analyst to interpret state mandates and healthcare payer requirements, translating them into clear business and system specifications. The role ensures end-to-end traceability from regulatory intent to design, testing, and validation within Facets and related systems.

You will collaborate with stakeholders, solution architects, engineers, QA, and regulatory teams to develop user stories, rules, acceptance criteria, and

Formación

• Strong experience as a Business Analyst or Regulatory Analyst within the healthcare payer domain.
• Good working knowledge of TriZetto Facets.
• Strong understanding of healthcare payer functions, particularly:

Responsabilidades

• Analyze and interpret state mandates, regulatory requirements, and healthcare payer business needs.
• Translate regulatory requirements into clear business, functional, and system requirements.
• Perform impact analysis across Facets, Claims, Eligibility, Enrollment, applications, data, and integrations.
• Partner with business stakeholders, Solution Architects, Engineers, QA teams, and compliance/regulatory teams.
• Develop user stories, business rules, acceptance criteria, process flows, and requirement documentation.
• Maintain requirements traceability from the original regulatory mandate through design, development, testing, and final validation.
• Identify gaps, dependencies, risks, and impacted business processes or systems.
• Support requirement walkthroughs and clarify requirements throughout the development lifecycle.
• Work with QA teams to ensure test scenarios and acceptance criteria adequately cover regulatory requirements.
• Support implementation readiness and validation of regulatory changes.

Conocimientos

Healthcare payer domain experience

TriZetto Facets knowledge

Regulatory/business analysis

Descripción del empleo

Valiant Technologies LLC is seeking an experienced Business/Regulatory Analyst to interpret state mandates and healthcare payer requirements, translating them into clear business and system specifications. The role ensures end-to-end traceability from regulatory intent to design, testing, and validation within Facets and related systems.

You will collaborate with stakeholders, solution architects, engineers, QA, and regulatory teams to develop user stories, rules, acceptance criteria, and