Healthcare System Analyst – Payer Systems

• Position: Healthcare System Analyst – Payer Systems
• Location: Woodland Hills, CA / Mason, OH (Hybrid)

Job Description:

• A technical system analyst with good understanding of the healthcare process flow – Eligibility & Enrollment – Provider contract pricing – Claims adjudication – Billing – Appeals and Grievances.
• Technical understanding of Sql and Dot net – full stack preferable.
• knowledge of Facets platform from a developer point of view – i.e. data models, architecture, and process flow.
• Good experience in working with Business and technical teams to prepare system requirements and Technical and functional documents.
• Looking for hands-on Facets systems analyst experience, including with deep benefits + claims knowledge, strong data troubleshooting ability, and clear ownership of real production issues.
• Excellent problem-solving, communication, and stakeholder management skills.
• Ability to lead technical discussions, architecture reviews, and cross-functional initiatives.