Job Title: Healthcare System Analyst – Payer Systems Location: Woodland Hills, CA / Mason, OH – Onsite Rate: $60/hr C2C or $50–$52/hr W2 Full-Time Salary: $130K
Role Overview
We are seeking a Healthcare System Analyst – Payer Systems with strong hands-on experience supporting healthcare payer systems, particularly Facets. The ideal candidate should have a strong understanding of healthcare processes, including Eligibility & Enrollment, Provider Contract Pricing, Claims Adjudication, Billing, Appeals, and Grievances.
Key Responsibilities & Requirements
Strong experience as a Healthcare System Analyst with hands-on experience in Facets.
Deep understanding of healthcare payer processes, including:
Eligibility & Enrollment
Provider Contract Pricing
Claims Adjudication
Billing
Appeals & Grievances
Strong understanding of Facets architecture, data models, and end-to-end process flows from a technical/developer perspective.
Strong SQL skills for data analysis, troubleshooting, and production issue investigation.
.NET / Full Stack technical knowledge is preferred.
Experience working closely with both business and technical teams to gather and document system requirements.
Ability to create technical and functional specifications/documentation.
Strong experience troubleshooting healthcare payer data and production issues.
Demonstrated ownership of real-world production issues, including root-cause analysis and resolution.
Strong benefits and claims domain knowledge is highly preferred.
Have a Great Day!
Warm Regards, Sania Wadhwa Technical Recruiter Contact Details: 609-755-5388 Email: