Healthcare System Analyst

The ideal candidate will possess expertise in Facets platform architecture, healthcare business processes, and technical analysis to support enterprise healthcare applications. Strong understanding of healthcare payer workflows including Eligibility & Enrollment, Provider Contract Pricing, Claims Adjudication, Billing, Appeals, and Grievances.

We are seeking a Healthcare System Analyst with strong experience in payer systems and healthcare operations. The ideal candidate will possess expertise in Facets platform architecture, healthcare business processes, and technical analysis to support enterprise healthcare applications.


Required Skills:

• Strong understanding of healthcare payer workflows including Eligibility & Enrollment, Provider Contract Pricing, Claims Adjudication, Billing, Appeals, and Grievances.
• Experience with Facets platform, including data models, architecture, and process flows.
• Technical knowledge of SQL and .NET technologies; full-stack development experience is preferred.
• Ability to collaborate with business and technical teams to gather requirements and create functional and technical documentation.
• Strong analytical, communication, and problem-solving skills.

Responsibilities:

• Analyze healthcare business requirements and translate them into system solutions.
• Support Facets-based applications and related integrations.
• Develop and maintain technical and functional specifications.
• Work closely with stakeholders, developers, and business teams to ensure successful project delivery.
• Assist in system enhancements, troubleshooting, and process optimization.