Facets System Analyst

Job Title:

Healthcare Systems Analyst (Facets + Payer)

Location:

Woodlands, CA -

Onsite Duration:

Long Term Contract Must Have Deep expertise in healthcare payer processes: Enrollment, Eligibility, Benefits, Claims Adjudication, Billing, Provider Management Strong SQL proficiency: o Complex queries, joins, stored procedures o 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: o Architecture, modules, and capabilities o 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