Healthcare System Analyst-Payer Systems

Job Description: 1 A technical system analyst with good understanding of the healthcare process flow Eligibility & Enrollment Provider contract pricing Claims adjudication Billing Appeals and Grievances 2 Technical understanding of Sql and Dot net full stack preferable 3 knowledge of Facets platform from a developer point of view i.e. data models, architecture, and process flow 4 Good experience in working with Business and technical teams to prepare system requirements and Technica

Role: Senior Healthcare Payer SME As a Senior Healthcare Payer SME with healthcare payer experience you'll support member portals, mobile apps, and digital self-service platforms. The role focuses on gathering requirements, improving member experience, analyzing healthcare data, and delivering solutions supporting Medicaid, Medicare, claims, enrollment, and provider operations. Location: Remote (EST) USA Experience: Min 10+ Yrs. Duties: Serve as SME for member portal, mobile app, and digit

Job Title :Facets Analyst Experience 5+ Years Job Description We are looking for an experienced Facets Analyst with strong expertise in the US Healthcare Payer domain. The ideal candidate should have hands-on experience with Facets, particularly in Claims Processing, along with strong analytical and Oracle PL/SQL skills. This role involves analyzing business requirements, supporting Facets applications, troubleshooting claims issues, and collaborating with business and technical teams. Ma

Healthcare Business Analyst Health Plan Location - REMOTE / EST work hours Tentative Duration - 6 months + We are seeking an experienced Healthcare Business Analyst with strong Health Plan/Payer experience to support business and technology initiatives within the healthcare insurance domain. Key Responsibilities & Qualifications: 5+ years of Business Analyst experience, including 3+ years supporting Health Plans/Payers. Strong experience with Claims, Enrollment, Eligibility, Benefits, Provid