Healthcare System Analyst

Role:

Healthcare System Analyst Payer Systems (Facets, Java & React Platforms)

Location:

Woodland Hills, CA, USA(Onsite Only) Must Have Deep expertise in healthcare payer processes: Enrollment, Eligibility, Benefits, Claims Adjudication, Billing, Provider Management Strong SQL proficiency: Complex queries, joins, stored procedures Ability to analyze data across multiple systems/sources Solid understanding of database design, schemas, and data relationships Proven ability to analyze, reconcile, and troubleshoot payer data (claims, membership, benefits) Functional understanding of Facets platform: Architecture, modules, and capabilities How Facets supports core payer workflows Working knowledge of AI/ML concepts and how they apply to healthcare data (e.g., predictive analytics, automation, insights) Ability to translate business requirements into functional designs and data mappings Experience across Commercial, Medicare, and/or Medicaid lines of business Strong collaboration skills across business, data, and engineering teams Nice to Have Experience with Facets configuration or development Background in Java (Spring Boot / microservices) Familiarity with React UI applications and front-end workflows Understanding of API-based integrations and data flow between systems Hands-on experience in AI/ML projects (e.g., claims analytics, fraud detection, member insights, automation use cases) Exposure to Azure and AWS cloud platforms Knowledge of healthcare EDI transactions (834, 835, 837) Experience in data warehousing / data lake environments Accliive, is an IT Consulting Company working with Fortune 500 clients and is based out of Boston, MA. Accliive works extensively in all the major industries like BFSI, Oil and Gas, Utilities, Healthcare and many more. Acclive is focused on providing customer centric solutions and career centric solutions.