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Job Summary
We are seeking an experienced Healthcare System Analyst with strong expertise in Payer Systems, Facets, Java-based applications, and React platforms. The ideal candidate will work closely with business stakeholders, developers, QA teams, and healthcare operations teams to analyze requirements, support system enhancements, and deliver scalable healthcare payer solutions.
The candidate should possess strong knowledge of healthcare claims, enrollment, provider, and member workflows along with hands-on experience in Facets configuration/support and modern web application platforms.
Responsibilities
Job Summary
We are seeking an experienced Healthcare System Analyst with strong expertise in Payer Systems, Facets, Java-based applications, and React platforms. The ideal candidate will work closely with business stakeholders, developers, QA teams, and healthcare operations teams to analyze requirements, support system enhancements, and deliver scalable healthcare payer solutions.
The candidate should possess strong knowledge of healthcare claims, enrollment, provider, and member workflows along with hands-on experience in Facets configuration/support and modern web application platforms.
Responsibilities
- Analyze business and system requirements for healthcare payer applications.
- Work with stakeholders to gather, document, and validate functional and technical requirements.
- Support and maintain Facets modules including Claims, Membership, Billing, Provider, and Authorization workflows.
- Collaborate with Java and React development teams for application enhancements and integrations.
- Create functional specifications, process flows, use cases, and system documentation.
- Coordinate with QA teams during test planning, defect resolution, and UAT activities.
- Troubleshoot production issues and provide root cause analysis.
- Support system integrations using APIs, batch processes, and healthcare data exchange formats.
- Participate in Agile/Scrum ceremonies including sprint planning, stand-ups, and retrospectives.
- Ensure compliance with healthcare regulations and payer business standards.
- Assist in deployment activities and post-production support.
- 5 years of experience as a Healthcare System Analyst or Business Systems Analyst.
- Strong experience with Healthcare Payer systems.
- Hands-on experience with Facets platform.
- Knowledge of healthcare claims processing and member/provider workflows.
- Experience working with Java-based enterprise applications.
- Experience supporting React-based web platforms/applications.
- Strong SQL and data analysis skills.
- Experience with REST APIs and system integrations.
- Knowledge of SDLC, Agile, and Scrum methodologies.
- Excellent communication and documentation skills.
- Experience with Medicare/Medicaid lines of business.
- Knowledge of HL7, EDI X12, or FHIR integrations.
- Experience with Jira, Confluence, and testing tools.
- Exposure to cloud platforms such as AWS or Azure.