Quick overview
Job description
Must-have skills:
- FACETS
- Healthcare Systems
- Jira
- SQL
- Business Analysis.
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.
- Experience analyzing membership, enrollment, billing, eligibility, and premium-related business processes.
- Strong requirements gathering, business process analysis, and solutioning skills.
- Experience creating functional specifications, business rules, and system documentation.
- Strong communication and stakeholder management capabilities. Ability to bridge business and technical teams to deliver scalable solutions. 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.
Regards,
Raj Dakshinapu | Recruiter, Dotcom Team LLC
Phone:
Web: | Email:
2023 Best Places to Work – Boston Business Journal
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