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.
Empowering the Future of Healthcare
The healthcare Industry is on the brink of a paradigm shift where patients are increasingly being viewed as empowered consumers, utilizing digital technologies to better understand and manage their own health. As a result, there is a growing demand for a range of patient-centric services, including personalized care that is tailored to each individual's unique needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced costs, and many other initiatives designed to improve the patient experience.
ClinDCast is at the forefront of shaping the future of healthcare by partnering with globally recognized healthcare organizations and offering them innovative solutions and expert guidance. Our suite of services is designed to cater to a broad range of needs of healthcare organizations, including healthcare IT innovation, electronic health record (EHR) implementation & optimizations, data conversion, regulatory and quality reporting, enterprise data analytics, FHIR interoperability strategy, payer-to-payer data exchange, and application programming interface (API) strategy.