BSA (Business Systems Analyst) - EDI/claims analysis, Facets - Remote

Facets Integration Developer 100% Remote What is in it for you?We are seeking an experienced Facets Integration Developer to support the development, enhancement, and integration of healthcare payer systems centered around the TriZetto Facets platform. The ideal candidate will have strong experience in designing and developing integrations between Facets and enterprise applications, leveraging APIs, middleware, ETL processes, and healthcare data standards. The role requires close collaboration w

We are seeking an experienced Healthcare Business Systems Analyst (BSA) with strong knowledge of healthcare claims processing and pre-adjudication workflows. The ideal candidate will have hands-on experience analyzing healthcare EDI transactions, claim intake and validation processes, and the flow of claims from trading partners through pre-adjudication and into the core claims adjudication system. Key Responsibilities * Analyze and document end-to-end healthcare claim workflows, with a strong f

Key Responsibilities Develop and supportTriZetto Facets integrations, interfaces, batch processes, and workflows. Build inbound/outbound integrations usingREST/SOAP APIs, middleware, and ETL. Work with healthcare EDI transactions including834, 835, 837, 270/271, and 276/277. Develop complexSQL queries, stored procedures, and database solutions. Support Facets modules includingMembership, Claims, Benefits, Provider, Billing, and Authorization. Perform integration testing, SIT/UAT support, d

Job Title: Facets EDI Specialist Location: 100% Remote Duration: Long Term Contract Job Summary We are seeking an experienced Edifecs Encounter Specialist with strong hands-on experience in healthcare encounters, Edifecs, and encounter data processing. The ideal candidate will have a solid understanding of encounter lifecycle, encounter validation, error analysis, data quality, and healthcare claims/encounter processes. The candidate should also have working knowledge of Facets navigation and be