Business System Analyst

Our client is looking Senior System Analyst in Multiple Location below is the detailed requirements.

 

Job Title: Senior System Analyst

Location: Multiple Location

Duration: Long Term

 

Job Description:

Mandatory:

• Strong Experience in healthcare payer processes: Enrollment, Eligibility, Benefits, Claims Adjudication, Billing, Provider Management
• Strong SQL proficiency:
  • 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)
• Functional understanding of Facets platform:
  • 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
• Excellent communication and presentation skills, with the ability to explain complex technical concepts to both technical and non-technical audiences.

Nice to Have

• 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