Position Overview
We are seeking an experienced Senior Business Applications Analyst with strong Facets and Healthcare Claims experience to support application configuration, business requirements, system development, and technical solutions within a healthcare environment.
The ideal candidate will have 5+ years of Facets Build experience and 5+ years of Healthcare Claims experience, with a strong understanding of packaged healthcare applications, configuration, interfaces, business rules, and SDLC processes.
Key Responsibilities
- Serve as a Subject Matter Expert (SME) for application areas, including:
- Data definitions and usage
- File structures
- Technical/code structure
- Business rules
- System requirements and functionality
- Lead the development of Package Software modification requirements and Interface Design Specifications.
- Configure application tables and packaged software to support specific business requirements.
- Establish and maintain complex Packaged Software file configurations.
- Act as a key liaison between technical teams and business stakeholders throughout development and implementation.
- Independently analyze business problems and opportunities and develop, implement, and communicate effective solutions.
- Facilitate project completion within defined timelines and budgets.
- Provide technical direction, mentoring, and assistance to junior team members.
- Provide technical leadership and application expertise to project teams and non-project-related initiatives.
- Provide detailed configuration expertise and consulting support to customers and business partners through verbal, written, electronic, and presentation-based communication.
- Analyze business requirements, use cases, and functional requirements to develop efficient enterprise solutions.
- Evaluate current application usage and recommend improvements related to:
- Business processes
- Data quality
- System results
- Application utilization
- Support key components of the Software Development Life Cycle (SDLC), including:
- Solution design
- Code development and maintenance
- Unit testing
- Test data creation
- Technical/system documentation
- Functional requirement validation
- Develop technical specifications and documentation to ensure solutions meet business requirements.
Required Qualifications
- 5+ years of Facets Build experience
- 5+ years of Healthcare Claims experience
- 5+ years of experience in a related business applications/technical field
- Strong understanding of healthcare application configuration and business processes.
- Experience working with Packaged Software configuration and modifications.
- Strong understanding of SDLC, requirements analysis, testing, documentation, and implementation.
- Excellent analytical, problem-solving, communication, and stakeholder management skills.
- Bachelor's degree or advanced degree, where required.
- In lieu of a degree, 7+ years of relevant experience may be considered.
Preferred Candidate Profile: Candidates with experience in the following areas are highly desirable:
- Facets / TriZetto Facets
- Healthcare Claims Administration
- Health Insurance / Payer systems
- Facets configuration and builds
- Claims processing
- Business requirements analysis
- Application configuration
- Interface specifications
- Healthcare application support
- SDLC
- Functional and technical specifications
- Unit testing
- Healthcare data and file structures
- Business rules and system configuration
- Technical leadership