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Job Title: Healthcare Systems Analyst (Facets Payer)
Location: Woodlands, CA - Onsite
Duration: Long Term Contract
Must Have
Job Title: Healthcare Systems Analyst (Facets Payer)
Location: Woodlands, CA - Onsite
Duration: Long Term Contract
Must Have
- Deep expertise in healthcare payer processes: Enrollment, Eligibility, Benefits, Claims Adjudication, Billing, Provider Management
- Complex queries, joins, stored procedures
- Ability to analyze data across multiple systems/sources
- Solid understanding of database design, schemas, and data relationships
- Proven ability to analyze, reconcile, and troubleshoot payer data (claims, membership, benefits)
- Architecture, modules, and capabilities
- How Facets supports core payer workflows
- Working knowledge of AI/ML concepts and how they apply to healthcare data (e.g., predictive analytics, automation, insights)
- Ability to translate business requirements into functional designs and data mappings
- Experience across Commercial, Medicare, and/or Medicaid lines of business
- Strong collaboration skills across business, data, and engineering teams
- Experience with Facets configuration or development
- Background in Java (Spring Boot / microservices)
- Familiarity with React UI applications and front-end workflows
- Understanding of API-based integrations and data flow between systems
- Hands-on experience in AI/ML projects (e.g., claims analytics, fraud detection, member insights, automation use cases)
- Exposure to Azure and AWS cloud platforms
- Knowledge of healthcare EDI transactions (834, 835, 837)
- Experience in data warehousing / data lake environments