Job description

Location: Remote Duration : 6+ months Facets Business Systems Analyst bridges the gap between healthcare payer operations and IT. This role involves analyzing, configuring, and troubleshooting the TriZetto Facets core administration system, including the Claims, Membership, Provider, and Billing modules. The analyst translates business requirements into technical specifications to support system upgrades, migrations, and day-to-day operations. Key Responsibilities • System Configuration: Analyze change requests and perform complex Facets configuration updates to support benefit plans, pricing, and network rules. • Requirements Gathering: Collaborate with business stakeholders (Claims, Enrollment, Billing) to gather, document, and validate functional and technical requirements. • Data Analysis & SQL: Query databases (SQL, Oracle, and MS Access) to profile data, map system migrations, and perform root-cause analysis for production issues. • Testing & QA: Develop use cases, execute SIT/UAT test scenarios, manage defects, and validate system changes before production deployment. • Impact Analysis: Assess the impact of global system changes to prevent downstream effects and ensure ongoing compliance with healthcare regulations. Requirements • 5+ years of experience as a Business Analyst, Systems Analyst, or Configuration Developer in a healthcare payer environment. • Experience with Medicaid and/or Medicare is required • Strong hands-on experience with TriZetto Facets data models, data tables, batch processing, and functional modules. • Advanced proficiency in SQL and relational databases. Experience with MS Visio, MS Project, and Agile/SDLC methodologies is highly preferred. • Exceptional communication skills. About Us: InterSources Inc , a Certified Diverse Supplier, was founded in 2007 and offers innovative solutions to help clients with Digital Transformations across various domains and industries. Our history spans over 16 years and today we are an Award-Winning Global Software Consultancy solving complex problems with technology. We recognize that our employees and our clients are our strengths as the diverse talents and opportunities they bring to the table enable us to grow as a global platform and they are causally linked with our success. We provide strategic and technical advice, and we have expertise in areas covering Artificial Intelligence, Cloud Migration, Custom Software Development, Data Analytics Infrastructure & Cloud Solutions, Cyber Security Services, etc. We make reasonable accommodations for clients and employees and we do not discriminate based on any protected attribute including race, religion, color, national origin, gender sexual orientation, gender identity, age, or marital status. We also are a Google Cloud partner company. We align strategy with execution and provide secure service solutions by developing and using the latest technologies that thrive our resources to deliver industry-leading capabilities to our clients and customers, making it convenient for our clients to do business with InterSources Inc. Our teams also drive growth by refining technology-driven client experiences that put the users first, providing an unparalleled experience. This results in strengthening the core technologies of clients, enabling them to scale with flexibility, create seamless digital experiences and build lifelong relationships.

Requirements

Must-haves

Location: Remote
Duration : 6+ months
System Configuration: Analyze change requests and perform complex Facets configuration updates to support benefit plans, pricing, and network rules.
Requirements Gathering: Collaborate with business stakeholders (Claims, Enrollment, Billing) to gather, document, and validate functional and technical requirements.
Data Analysis & SQL: Query databases (SQL, Oracle, and MS Access) to profile data, map system migrations, and perform root-cause analysis for production issues.
Testing & QA: Develop use cases, execute SIT/UAT test scenarios, manage defects, and validate system changes before production deployment.
Impact Analysis: Assess the impact of global system changes to prevent downstream effects and ensure ongoing compliance with healthcare regulations.
5+ years of experience as a Business Analyst, Systems Analyst, or Configuration Developer in a healthcare payer environment.
Experience with Medicaid and/or Medicare is required
Strong hands-on experience with TriZetto Facets data models, data tables, batch processing, and functional modules.
Exceptional communication skills.

Nice-to-haves

Advanced proficiency in SQL and relational databases. Experience with MS Visio, MS Project, and Agile/SDLC methodologies is highly preferred.

Application prep

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Keywords to mirror

sqlagile

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Effort: medium