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Healthcare System Analyst

ClinDCast LLC

Mason, OK

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JOB DETAILS
SKILLS
Acceptance Testing, Agile Programming Methodologies, Amazon Web Services (AWS), Application Integration, Application Programming Interface (API), Atlassian JIRA, Billing, Business Analysis, Business Solutions, Claims Processing, Cloud Computing, Communication Skills, Data Formats, Data Processing, Documentation, Electronic Data Interchange (EDI), Enterprise Applications, Functional Testing, HL7 (Health Level 7), Healthcare, Healthcare Software, Identify Issues, Internet Application, Java, Java Platform Enterprise Edition (Java EE/J2EE), Maintain Compliance, Medicaid, Medicare, Microsoft Windows Azure, Operational Audit, Process Flow, Production Support, Quality Assurance, REST (Representational State Transfer), React.js, Regulatory Compliance, Requirements Management, Root Cause Analysis, Scrum Project Management and Software Development, Software Development, Software Development Lifecycle (SDLC), Sprint Planning, Standup Meetings, System Integration (SI), Systems Analysis, Test Tools, Testing, Use Cases
LOCATION
Mason, OK
POSTED
20 days ago
Job Summary


We are seeking an experienced Healthcare System Analyst with strong expertise in Payer Systems, Facets, Java-based applications, and React platforms. The ideal candidate will work closely with business stakeholders, developers, QA teams, and healthcare operations teams to analyze requirements, support system enhancements, and deliver scalable healthcare payer solutions.


The candidate should possess strong knowledge of healthcare claims, enrollment, provider, and member workflows along with hands-on experience in Facets configuration/support and modern web application platforms.


Responsibilities


  •  Analyze business and system requirements for healthcare payer applications. 
  •  Work with stakeholders to gather, document, and validate functional and technical requirements. 
  •  Support and maintain Facets modules including Claims, Membership, Billing, Provider, and Authorization workflows. 
  •  Collaborate with Java and React development teams for application enhancements and integrations. 
  •  Create functional specifications, process flows, use cases, and system documentation. 
  •  Coordinate with QA teams during test planning, defect resolution, and UAT activities. 
  •  Troubleshoot production issues and provide root cause analysis. 
  •  Support system integrations using APIs, batch processes, and healthcare data exchange formats. 
  •  Participate in Agile/Scrum ceremonies including sprint planning, stand-ups, and retrospectives. 
  •  Ensure compliance with healthcare regulations and payer business standards. 
  •  Assist in deployment activities and post-production support. 
Required Skills


  •  5+ years of experience as a Healthcare System Analyst or Business Systems Analyst. 
  •  Strong experience with Healthcare Payer systems. 
  •  Hands-on experience with Facets platform. 
  •  Knowledge of healthcare claims processing and member/provider workflows. 
  •  Experience working with Java-based enterprise applications. 
  •  Experience supporting React-based web platforms/applications. 
  •  Strong SQL and data analysis skills. 
  •  Experience with REST APIs and system integrations. 
  •  Knowledge of SDLC, Agile, and Scrum methodologies. 
  •  Excellent communication and documentation skills. 
Preferred Skills


  •  Experience with Medicare/Medicaid lines of business. 
  •  Knowledge of HL7, EDI X12, or FHIR integrations. 
  •  Experience with Jira, Confluence, and testing tools. 
  •  Exposure to cloud platforms such as AWS or Azure.

About the Company

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ClinDCast LLC

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