Business Systems Analyst
Full-time
Amtex Systems, Inc.
Mandatory areas – BSA Claims - 10+ years
Must Have skills:
- FACETS
- Healthcare Systems
- Jira
- SQL
- Business Analysis
Location - Seattle, WA
Business Systems Analyst (FACETS Membership)
Location: Seattle, Washington
Experience: 10+ Years
About the Role:
- 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 environment.
- This role will serve as a Subject Matter Expert (SME) responsible for driving business analysis, solution design, system enhancements, regulatory mandates, and FACETS modernization initiatives.
- The ideal candidate will possess strong functional and technical knowledge of FACETS Membership processes, backend data models, batch operations, and advanced SQL analysis while partnering with business stakeholders, technology teams, and operational leaders 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.
- Support FACETS implementation, migration, upgrade, and transformation initiatives.
- Develop business requirements documents, functional specifications, process flows, use cases, and data mapping documents
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 projects.
Required Skills
- SME-level expertise in:
- FACETS Membership Enrollment & Eligibility Billing & Premium Management FACETS Front-End Functionality FACETS Batch Processing FACETS Backend Data Models Strong understanding of Healthcare Payer membership lifecycle processes.
- Advanced SQL skills with the ability to write complex queries for analysis, data validation, troubleshooting, and solution design.
Preferred Qualifications:
- Experience working with Blue Cross Blue Shield organizations.
- Business Analysis certifications such as: 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, Provider, and Core FACETS Administration functions.
Key Competencies:
- Membership & Enrollment Domain Expertise Billing & Premium Management Knowledge FACETS
Vacancy posted 2 days ago
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