E-Solutions

Business Systems Analyst with FACETS

Seattle, WA, US • Posted 17 hours ago • Updated 17 hours ago
Full Time
On-site
Fitment

Dice Job Match Score™

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Job Details

Skills

  • System Requirements
  • Collaboration
  • Migration
  • Process Improvement
  • Process Flow
  • Use Cases
  • Data Mapping
  • Development Testing
  • Testing
  • Acceptance Testing
  • Production Support
  • Business Systems
  • TriZetto Facets
  • Process Reengineering
  • Batch Processing
  • Data Validation
  • Workflow
  • Process Optimization
  • Business Rules
  • System Documentation
  • Communication
  • Workflow Optimization
  • SLA
  • Certified Business Analysis Professional
  • PMBOK
  • Business Analysis
  • Regulatory Compliance
  • Microsoft Azure
  • DevOps
  • ServiceNow
  • Business Process
  • Billing
  • Management
  • Data Analysis
  • Requirements Elicitation
  • Documentation
  • Process Analysis
  • Optimization
  • Software Design
  • Stakeholder Management
  • Root Cause Analysis
  • Operational Excellence
  • Continuous Improvement
  • Waterfall
  • Health Care
  • Process Modeling
  • Business Process Management
  • Process Management
  • Facets
  • SQL
  • JIRA
  • Agile

Summary

Job Description

Hi ,
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Hope you are doing great
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I found your resume from one of the job portals and it seems really a good match with the requirement, so please have a look at the requirement and let me know if you are comfortable with the requirement.
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Please share your Updated resume.
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Job Title: Business Systems Analyst (FACETS Membership) - Healthcare Payer & BPM
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Location: United States - Seattle, Washington (No Remote)
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Duration: Long Term Contract
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What You\'ll Do
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  • Serve as the primary Business Systems Analyst and SME for FACETS Membership, Enrollment, and Billing initiatives.
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  • Gather, analyze, document, and validate complex business and system requirements.
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  • Collaborate with business stakeholders to understand membership, enrollment, billing, and operational process needs and translate them into functional and technical
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  • Requirements
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  • Perform impact assessments for regulatory mandates, enhancement requests, system upgrades, modernization programs, and BPM transformation initiatives.
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  • Analyze end-to-end Membership and Billing workflows to identify process improvements, operational efficiencies, and optimization opportunities.
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  • Support FACETS implementation, migration, upgrade, transformation, and process improvement initiatives.
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  • Develop business requirements documents, functional specifications, process flows, use cases, and data mapping documents.
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  • Conduct root cause analysis and solution assessments for complex business and system issues.
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  • Work closely with development, QA, architecture, operations, and BPM delivery teams during design, testing, deployment, and support phases.
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  • Support User Acceptance Testing (UAT), defect triage, production validation, and post-implementation activities.
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  • Facilitate requirements workshops, stakeholder discussions, and solution review sessions.
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  • Provide production support expertise for membership, enrollment, billing, and operational workflow-related issues.
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  • Partner with business and BPM stakeholders to drive continuous improvement, operational excellence, and process standardization initiatives.
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Required Qualifications
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Experience
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  • 10+ years of experience as a Business Systems Analyst or Business Analyst.
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  • Minimum 5+ years of hands-on experience with the TriZetto FACETS platform.
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  • Extensive Healthcare Payer and Healthcare BPM/BPO domain experience.
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  • Proven experience supporting complex FACETS implementations, regulatory mandates, upgrade projects, process transformation initiatives, and modernization programs.
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Required Skills
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  • SME-Level Expertise In
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  • FACETS Membership
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  • Enrollment & Eligibility
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  • Billing & Premium Management
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  • FACETS Front-End Functionality
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  • FACETS Batch Processing
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  • FACETS Backend Data Models
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Functional Skills
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  • Strong understanding of Healthcare Payer membership lifecycle processes and BPM operational workflows.
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  • Advanced SQL skills with the ability to write complex queries for analysis, data validation, troubleshooting, and solution design.
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  • Experience analyzing membership, enrollment, billing, eligibility, premium-related business processes, and operational workflows.
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  • Strong requirements gathering, business process analysis, process optimization, and solutioning skills.
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  • Experience creating functional specifications, business rules, process documentation, and system documentation.
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  • Strong communication and stakeholder management capabilities.
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  • Ability to bridge business, technical, and BPM operations teams to deliver scalable solutions.
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  • Experience supporting operational excellence, workflow optimization, SLA adherence, and process governance initiatives.
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Preferred Qualifications
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  • Business Analysis Certifications
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  • CBAP (Certified Business Analysis Professional)
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  • CCBA (Certification of Capability in Business Analysis)
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  • PMI-PBA (Professional in Business Analysis)
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  • Additional Preferred Experience
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  • Experience supporting Healthcare regulatory and compliance initiatives.
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  • Familiarity with Agile delivery methodologies and tools such as JIRA, Azure DevOps, and ServiceNow.
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  • Exposure to Claims, Provider, and Core FACETS Administration functions.
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  • Experience working in Healthcare BPM/BPO environments.
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  • Experience supporting business process transformation, automation, and continuous improvement programs.
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Key Competencies
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  • Membership & Enrollment Domain Expertise
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  • Billing & Premium Management Knowledge
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  • FACETS Subject Matter Expertise
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  • Complex SQL & Data Analysis
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  • Requirements Elicitation & Documentation
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  • Business Process Modeling
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  • BPM Process Analysis & Optimization
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  • Solution Design & Validation
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  • Stakeholder Management
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  • Root Cause Analysis
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  • Operational Excellence & Continuous Improvement
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  • Agile & Waterfall Delivery
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  • Healthcare Payer & BPM Domain Expertise
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Experience
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10+ Years
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Beeline Notes
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Mandatory Areas
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Must Have Skills -
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Skill 1 - Yrs of Exp - FACETS
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Skill 2 - Yrs of Exp - SQL
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Skill 3 - Yrs of Exp - Jira
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Skill 4 - Yrs of Exp - Agile
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: orcfeed
  • Position Id: 24495_29249_6c19a9753dd42ebd
  • Posted 17 hours ago
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