What are the responsibilities and job description for the Business Systems Analyst (FACETS Provider) position at Lorven technologies?
Business Systems Analyst (FACETS Provider)
Location: United States Seattle, Washington
Position : Long term contract
- Perform impact analysis for regulatory mandates, enhancements, system upgrades, and modernization initiatives.
- Analyze end-to-end provider lifecycle processes, including provider setup, credentialing integrations, contracting, network participation, and reimbursement methodologies. Support FACETS implementation, migration, upgrade, and transformation programs.
- Develop business requirements documents, functional specifications, process flows, use cases, and data mapping documentation.
- Conduct root cause analysis and recommend solutions for complex provider and pricing-related issues.
- Partner with development, QA, architecture, and support teams throughout the SDLC lifecycle. Support User Acceptance Testing (UAT), defect triage, deployment validation, and post-production support activities.
- Facilitate stakeholder meetings, solution workshops, and business process discussions.
- Provide production support expertise for provider configuration, network management, and pricing-related issues.
Required Skills :
- 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 domain experience. Proven experience supporting complex FACETS implementations, regulatory mandates, and upgrade initiatives.
- FACETS Provider Module Provider Configuration & Maintenance Provider Network Management Contracting & Reimbursement Models Pricing Configuration FACETS Front-End Functionality FACETS Batch Processing FACETS Backend Data Models Strong understanding of Healthcare Payer provider operations and network management processes.
- Advanced SQL skills with the ability to write complex queries for analysis, data validation, troubleshooting, and solution design.
- Experience analyzing provider network, contracting, fee schedule, pricing, and reimbursement business processes.
- Strong requirements gathering, business process analysis, and solutioning capabilities. Experience creating functional specifications, business rules, gap analysis, and system documentation.
- Excellent communication, stakeholder management, and facilitation skills.
- Ability to effectively collaborate with business, operational, and technical teams.
Preferred Qualifications Business Analysis certifications:
- CBAP (Certified Business Analysis Professional)
- CCBA (Certification of Capability in Business Analysis)
- PMI-PBA (Professional in Business Analysis)
- Experience supporting healthcare regulatory and compliance initiatives.
- Familiarity with Agile delivery methodologies and tools such as JIRA, Azure DevOps, and ServiceNow.
- Exposure to Claims, Membership, Billing, and Core FACETS Administration functions.