Healthcare System Analyst Payer Systems
$130kApplab Systems Inc
Job Description
Job Description
Job Title: Healthcare System Analyst – Payer Systems
Location: Woodland Hills, CA / Mason, OH – Onsite
Rate: $60/hr C2C or $50–$52/hr W2
Full-Time Salary: $130K
We are seeking a Healthcare System Analyst – Payer Systems with strong hands-on experience supporting healthcare payer systems, particularly Facets . The ideal candidate should have a strong understanding of healthcare processes, including Eligibility & Enrollment, Provider Contract Pricing, Claims Adjudication, Billing, Appeals, and Grievances. Key Responsibilities & Requirements
- Strong experience as a Healthcare System Analyst with hands-on experience in Facets .
- Deep understanding of healthcare payer processes , including:
- Eligibility & Enrollment
- Provider Contract Pricing
- Claims Adjudication
- Billing
- Appeals & Grievances
- Strong understanding of Facets architecture, data models, and end-to-end process flows from a technical/developer perspective.
- Strong SQL skills for data analysis, troubleshooting, and production issue investigation.
- .NET / Full Stack technical knowledge is preferred.
- Experience working closely with both business and technical teams to gather and document system requirements.
- Ability to create technical and functional specifications/documentation .
- Strong experience troubleshooting healthcare payer data and production issues.
- Demonstrated ownership of real-world production issues , including root-cause analysis and resolution.
- Strong benefits and claims domain knowledge is highly preferred.
Warm Regards,
Sania Wadhwa
Technical Recruiter
Contact Details: View phone number on ziprecruiter.com
Email: View email address on ziprecruiter.com
4365 Route 1 South, Suite 105
Princeton, NJ 08540
Vacancy posted 3 days ago
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