Healthcare System Analyst – Payer Systems

Hi ,

Our client is looking for an Healthcare System Analyst – Payer Systems for a project and below is the detailed requirement.

• Job Title: Healthcare System Analyst – Payer Systems
• Location: Woodland Hills, CA/Mason, Ohio

Job Description:

• Bachelor's degree in Computer Science, Information Technology, Engineering, or a related field with 12+ years of overall IT experience.
• 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.
• We should focus on finding ones with hands-on Facets systems analyst experience, including with deep benefits + claims knowledge, strong data troubleshooting ability, and clear ownership of real production issues.