Business System Analyst

• Company: Confidential
• Industry: Healthcare / Health Insurance
• Location: Remote – Candidate must reside in Idaho, Utah, or North Dakota
• Schedule: Central Time Zone hours
• Employment Type: 6 months Contract / Full-Time / W2 Only
• Pay rate: $30 - $32/hr. on W2

Note: Only W2, No C2C, Sorry!

Overview

• We are seeking a Business Systems Analyst – Facets Membership & Healthcare EDI to support the operation, configuration, testing, troubleshooting, and continuous improvement of healthcare membership systems. This role will translate business requirements into functional solutions, system configurations, data solutions, testing strategies, and production-ready enhancements.
• Hands-on experience with Facets Membership is highly valuable. Experience with Healthcare EDI, particularly ANSI X12 834 Enrollment and Maintenance transactions, is strongly preferred. The ideal candidate understands how enrollment data flows through healthcare systems and can investigate membership, configuration, and data issues.
• This is a hands-on role requiring strong experience with requirements analysis, Facets configuration, SQL, testing, production support, data validation, and cross-functional communication.

• Key Responsibilities
• Analyze business requirements and translate them into functional requirements, system configurations, data rules, interface specifications, and test plans.
• Support Facets membership and enrollment operations, including enrollment, changes, and disenrollment.
• Configure Facets functionality and develop supporting SQL scripts, reports, and data solutions.
• Analyze and troubleshoot membership data, configuration, interface, and X12 834 EDI issues.
• Develop and execute unit, functional, regression, integration, conversion, and post-implementation testing.
• Validate membership and EDI data against business requirements and expected outcomes.
• Investigate production issues, perform root-cause analysis, and coordinate resolutions with technical and business teams.
• Support data migration/conversion activities while following security, backup, and change-control procedures.
• Maintain documentation for requirements, configurations, testing, SQL/data procedures, known issues, and implementation activities.
• Identify opportunities to improve system reliability, testing, documentation, and support processes.
• Evaluate appropriate AI and automation tools to improve requirements documentation, SQL development, testing, data validation, issue analysis, and technical documentation while maintaining privacy and compliance.

• Ideal Candidate
• Strong healthcare business systems analysis experience, preferably supporting membership or enrollment systems.
• Hands-on Facets Membership experience.
• Healthcare EDI experience, especially ANSI X12 834 Enrollment and Maintenance transactions.
• Strong SQL skills and experience with data analysis/validation.
• Experience with functional requirements, system configuration, testing, data conversion/migration, and production troubleshooting.
• Ability to work effectively between business and technical teams.
• Strong analytical, problem-solving, communication, and documentation skills.
• At least 1 year of experience in business requirements analysis, process modeling, functional system design/configuration, or acceptance testing.
• Healthcare experience in membership, claims, provider operations, or a related area.
• Bachelor’s degree in Computer Science, Mathematics, Business Administration, or related field preferred; relevant healthcare experience may substitute.

• Success in This Role
• The successful candidate will quickly become productive in the Facets membership environment, independently handle moderately complex issues, deliver accurate configurations and solutions, ensure reliable membership/EDI processing, and continuously improve system support and operational efficiency.