Healthcare System Analyst – Payer Systems

Job Description:

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

2 – Technical understanding of Sql and Dot net – full stack preferable

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

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

5- 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.