Business Systems Analyst (FACETS Membership)

📢 We’re Hiring: Business Systems Analyst (FACETS Membership) – Healthcare Payer & BPM
📍 Location: Seattle, WA (Onsite – No Remote)
💼 Experience: 10+ Years
🏥 Domain: Healthcare Payer | FACETS | BPM/BPO
We are looking for an experienced Business Systems Analyst (BSA) with strong hands-on expertise in TriZetto FACETS Membership, Enrollment, Eligibility, and Billing within a healthcare payer environment.
🔹 Key Responsibilities
Serve as the FACETS Membership SME for enrollment, eligibility, and billing initiatives.
Gather and document business and functional requirements, business rules, process flows, and functional specifications.
Support FACETS implementations, upgrades, migrations, modernization, and regulatory initiatives.
Perform advanced SQL analysis, backend data validation, batch processing analysis, and root cause investigation.
Analyze and optimize membership, enrollment, billing, and BPM/BPO workflows.
Support UAT, defect triage, production validation, and post-implementation activities.
Collaborate with business stakeholders, development, QA, architecture, and BPM operations teams.
🔹 Required Skills
✅ 10+ years of Business Analyst / Business Systems Analyst experience
✅ 5+ years of hands-on TriZetto FACETS experience
✅ Strong expertise in FACETS Membership, Enrollment, Eligibility, Billing, and Premium Management
✅ Knowledge of FACETS front-end functionality, batch processing, and backend data models
✅ Advanced SQL skills for data analysis, troubleshooting, and validation
✅ Healthcare payer and BPM/BPO domain experience
✅ Strong requirements gathering, documentation, stakeholder management, and root cause analysis skills
✅ Experience with FACETS implementations, upgrades, regulatory mandates, and process transformation initiatives
🔹 Preferred Qualifications
CBAP, CCBA, or PMI-PBA certification
Experience with JIRA, Azure DevOps, and ServiceNow
Exposure to FACETS Claims, Provider, and Core Administration
Knowledge of Agile/Waterfall methodologies, healthcare