Consultant I

Join Our Team as a Business Systems Analyst in Seattle, WA

Are you an experienced Business Systems Analyst with expertise in the TriZetto FACETS Membership platform? We are looking for a talented individual to join our team in Seattle, WA. This is a fantastic opportunity to work full-time in a vibrant city known for its innovation and quality of life. Embrace the chance to contribute to impactful projects in the healthcare payer domain while enjoying the unique culture and lifestyle Seattle has to offer.

About the Role

In this role, you will serve as a Subject Matter Expert (SME) responsible for driving business analysis, solution design, system enhancements, regulatory mandates, and FACETS modernization initiatives. You will collaborate with business stakeholders, technology teams, and operational leaders to deliver high-impact solutions. Your strong functional and technical knowledge of FACETS Membership processes, backend data models, batch operations, and advanced SQL analysis will be crucial in this position.

Key Responsibilities

• Serve as the primary Business Systems Analyst and SME for FACETS Membership, Enrollment, and Billing initiatives.
• Gather, analyze, document, and validate complex business and system requirements.
• Collaborate with stakeholders to translate membership, enrollment, and billing needs into functional and technical requirements.
• Perform impact assessments for regulatory mandates, enhancement requests, system upgrades, and modernization programs.
• Analyze end-to-end Membership and Billing workflows to identify process improvements and optimization opportunities.
• Support FACETS implementation, migration, upgrade, and transformation initiatives.
• Develop business requirements documents, functional specifications, process flows, use cases, and data mapping documents.
• Conduct root cause analysis and solution assessments for complex business and system issues.
• Facilitate requirements workshops, stakeholder discussions, and solution review sessions.

Requirements

• 10 years of experience as a Business Systems Analyst or Business Analyst.
• Minimum 5 years of hands-on experience with the TriZetto FACETS platform.
• Extensive Healthcare Payer domain experience.
• Proven experience supporting complex FACETS implementations, regulatory mandates, and upgrade projects.
• Advanced SQL skills with the ability to write complex queries for analysis, data validation, troubleshooting, and solution design.
• Strong communication and stakeholder management capabilities.

Preferred Qualifications

• Experience working with client cross organizations.
• Business Analysis certifications such as CBAP, CCBA, or PMI-PBA.
• 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.

Ready to make a difference in the healthcare industry? Apply now to join our team and take your career to the next level in Seattle, WA!

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