Healthcare System Analyst – Payer System

A technical system analyst with good understanding of the healthcare process flow – Eligibility & Enrollment – Provider contract pricing – Claims adjudication – Billing – Appeals and Grievances

Technical understanding of Sql and Dot net – full stack preferable

 

Knowledge of Facets platform from a developer point of view – i.e., data models, architecture, and process flow

Good experience in working with Business and technical teams to prepare system requirements and Technical and functional documents.

We should focus on finding ones with hands-on Facets systems analyst experience, including with deep benefits + claims knowledge, strong data troubleshooting ability, and clear ownership of real production issues.