We are seeking a Healthcare System Analyst with strong experience in payer systems and healthcare operations. The ideal candidate will possess expertise in Facets platform architecture, healthcare business processes, and technical analysis to support enterprise healthcare applications.
Required Skills:
- Strong understanding of healthcare payer workflows including Eligibility & Enrollment, Provider Contract Pricing, Claims Adjudication, Billing, Appeals, and Grievances.
- Experience with Facets platform, including data models, architecture, and process flows.
- Technical knowledge of SQL and .NET technologies; full-stack development experience is preferred.
- Ability to collaborate with business and technical teams to gather requirements and create functional and technical documentation.
- Strong analytical, communication, and problem-solving skills.
Responsibilities:
- Analyze healthcare business requirements and translate them into system solutions.
- Support Facets-based applications and related integrations.
- Develop and maintain technical and functional specifications.
- Work closely with stakeholders, developers, and business teams to ensure successful project delivery.
- Assist in system enhancements, troubleshooting, and process optimization.
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.