Highlights
The ideal candidate will possess strong functional and technical knowledge of FACETS Membership processes, backend data models, batch operations, advanced SQL analysis, and healthcare BPM workflows while partnering with business stakeholders, technology teams, operational leaders, and BPM teams to deliver high-impact solutions. Client is seeking an experienced Business Systems Analyst (BSA) - Membership with deep expertise in the TriZetto FACETS Membership platform, including Enrollment and Billing operations within a Healthcare Payer and BPM (Business Process Management) environment.
Numbers & Facts
| Location | Seattle, WA |
| Industry | Computer/IT Services |
| Salary | $60.80 |
| Company Size | 100 to 499 employees |
| Year Founded | 2009 |
| Website | http://www.tekwissen.com/ |
Description
Overview:
TekWissen is a global workforce management provider headquartered in Ann Arbor, Michigan that offers strategic talent solutions to our clients world-wide. Our client provider of digital technology and transformation, information technology and services.
a { text-decoration: none; color: #464feb; } tr th, tr td { border: 1px solid #e6e6e6; } tr th { background-color: #f5f5f5; } TekWissen Group is an equal opportunity employer supporting workforce diversity.
Job Title: Business Systems Analyst
Location: Seattle, WA
Duration: 6 Months
Job Type: Temporary Assignment
Work Type: Onsite
Job Description:
About the Role:
- Client is seeking an experienced Business Systems Analyst (BSA) - Membership with deep expertise in the TriZetto FACETS Membership platform, including Enrollment and Billing operations within a Healthcare Payer and BPM (Business Process Management) environment.
- This role will serve as a Subject Matter Expert (SME) responsible for driving business analysis, solution design, system enhancements, regulatory mandates, FACETS modernization initiatives, and business process optimization programs.
- The ideal candidate will possess strong functional and technical knowledge of FACETS Membership processes, backend data models, batch operations, advanced SQL analysis, and healthcare BPM workflows while partnering with business stakeholders, technology teams, operational leaders, and BPM teams to deliver high-impact solutions.
What You'll Do:
- Serve as the primary Business Systems Analyst and SME for FACETS Membership, Enrollment, and Billing initiatives.
- Gather, analyze, document, and validate complex business and system requirements.
- Collaborate with business stakeholders to understand membership, enrollment, billing, and operational process needs and translate them into functional and technical requirements.
- Perform impact assessments for regulatory mandates, enhancement requests, system upgrades, modernization programs, and BPM transformation initiatives.
- Analyze end-to-end Membership and Billing workflows to identify process improvements, operational efficiencies, and optimization opportunities.
- Support FACETS implementation, migration, upgrade, transformation, and process improvement initiatives.
- Develop business requirements documents, functional specifications, process flows, use cases, and data mapping documents.
- Conduct root cause analysis and solution assessments for complex business and system issues.
- Work closely with development, QA, architecture, operations, and BPM delivery teams during design, testing, deployment, and support phases.
- Support User Acceptance Testing (UAT), defect triage, production validation, and post-implementation activities.
- Facilitate requirements workshops, stakeholder discussions, and solution review sessions.
- Provide production support expertise for membership, enrollment, billing, and operational workflow-related issues.
- Partner with business and BPM stakeholders to drive continuous improvement, operational excellence, and process standardization initiatives.
Required Qualifications:
Experience:
- 10+ years of experience as a Business Systems Analyst or Business Analyst.
- Minimum 5+ years of hands-on experience with the TriZetto FACETS platform.
- Extensive Healthcare Payer and Healthcare BPM/BPO domain experience.
- Proven experience supporting complex FACETS implementations, regulatory mandates, upgrade projects, process transformation initiatives, and modernization programs.
Required Skills:
SME-Level Expertise In:
- FACETS Membership
- Enrollment & Eligibility
- Billing & Premium Management
- FACETS Front-End Functionality
- FACETS Batch Processing
- FACETS Backend Data Models
Functional Skills:
- Strong understanding of Healthcare Payer membership lifecycle processes and BPM operational workflows.
- Advanced SQL skills with the ability to write complex queries for analysis, data validation, troubleshooting, and solution design.
- Experience analyzing membership, enrollment, billing, eligibility, premium-related business processes, and operational workflows.
- Strong requirements gathering, business process analysis, process optimization, and solutioning skills.
- Experience creating functional specifications, business rules, process documentation, and system documentation.
- Strong communication and stakeholder management capabilities.
- Ability to bridge business, technical, and BPM operations teams to deliver scalable solutions.
- Experience supporting operational excellence, workflow optimization, SLA adherence, and process governance initiatives.
Preferred Qualifications:
Business Analysis Certifications:
- CBAP (Certified Business Analysis Professional)
- CCBA (Certification of Capability in Business Analysis)
- PMI-PBA (Professional in Business Analysis)
Additional Preferred Experience:
- Experience supporting Healthcare regulatory and compliance initiatives.
- Familiarity with Agile delivery methodologies and tools such as JIRA, Azure DevOps, and ServiceNow.
- Exposure to Claims, Provider, and Core FACETS Administration functions.
- Experience working in Healthcare BPM/BPO environments.
- Experience supporting business process transformation, automation, and continuous improvement programs.
Key Competencies:
- Membership & Enrollment Domain Expertise
- Billing & Premium Management Knowledge
- FACETS Subject Matter Expertise
- Complex SQL & Data Analysis
- Requirements Elicitation & Documentation
- Business Process Modeling
- BPM Process Analysis & Optimization
- Solution Design & Validation
- Stakeholder Management
- Root Cause Analysis
- Operational Excellence & Continuous Improvement
- Agile & Waterfall Delivery
- Healthcare Payer & BPM Domain Expertise.
About Company
WE THE TEKWISSEN PEOPLE
TekWissen offers you a broader portfolio of services, industry-leading solutions, and the meaningful innovations that give you greater flexibility and speed to respond to market dynamics, reduced costs and risk to improve enterprise performance, and increased productivity to enable growth.
To keep pace with global market demands, TekWissen keeps its finger on the pulse of change. Our organized approach to guiding a project from its inception to closure. Managing projects is becoming more and more important as we enter the digital era. To cope with the pace that this transition demands, a method is required to manage projects so they can yield quality work, while incorporating efficient use of time and resources.
Project involves identifying which quality standards are relevant to the project and determining how to satisfy them.
It is important to perform quality planning during the Planning Process and should be done alongside the other project planning processes because changes in the quality will likely require changes in the other planning processes, or the desired product quality may require a detailed risk analysis of an identified problem. It is important to remember that quality should be planned, designed, then built in, not added on after the fact.
Capabilities and accomplishments in one TekWissen business enhance the opportunity for success in the others. Put simply, TekWissen's unique combination of attributes promotes success.