Business Systems Analyst (FACETS Provider) (26-01818) -

Business Systems Analyst (FACETS Provider)

Location - Seattle, Washington-Onsite

Must-Have Screening Questions and need answers

How many years of hands-on experience do you have with the TriZetto FACETS Provider Module?

Have you worked on Provider Configuration and Network Management within FACETS?

Describe your experience with Pricing Configuration and Reimbursement Models.

Have you supported FACETS implementation, migration, or upgrade projects? Please provide examples.

What is your level of experience with complex SQL queries and backend FACETS data analysis?

How many years of Healthcare Payer domain experience do you possess?

Have you worked with FACETS batch processing and backend data models?

Have you supported provider contracting, fee schedules, and network participation processes?

Do you have experience supporting regulatory mandates and compliance initiatives?

Have you worked in Agile environments using JIRA, Azure DevOps, or ServiceNow?

Top Mandatory Skills

TriZetto FACETS Provider Module – 5+ years

Provider Configuration & Maintenance – 5+ years

Provider Network Management – 5+ years

Pricing Configuration & Reimbursement Models – 5+ years

Healthcare Payer Domain Experience – 8+ years

Advanced SQL (Complex Queries, Data Analysis, Validation) – 5+ years

FACETS Backend Data Models – 5+ years

FACETS Batch Processing – 3+ years

Business Systems Analysis / Requirements Gathering – 10+ years

FACETS Implementation / Upgrade / Migration Projects – 3+ projects

Ultra-Short Mandatory Skills for Recruiter Screening

FACETS Provider

Provider Configuration

Provider Network Management

Pricing & Reimbursement

Healthcare Payer

Advanced SQL

FACETS Backend Data Models

FACETS Implementations/Upgrades

Business Systems Analyst (FACETS Provider) Location

United States Seattle, Washington (No remote) Experience

10+ Years Open Positions

1 About the Role UST is seeking an experienced Business Systems Analyst (BSA) - Provider with deep expertise in the TriZetto FACETS Provider platform, including Provider Configuration, Network Management, and Pricing. This role will serve as a Subject Matter Expert (SME) supporting strategic Healthcare Payer initiatives, FACETS implementations, regulatory mandates, system enhancements, and upgrade programs. The ideal candidate will possess strong knowledge of FACETS Provider modules, provider network management, reimbursement and pricing methodologies, batch processes, backend data models, and advanced SQL analysis. The candidate will partner with business stakeholders, provider operations teams, architects, developers, and testing teams to deliver high-quality solutions across the provider domain. What You'll Do Serve as the primary Business Systems Analyst and SME for FACETS Provider, Network, and Pricing initiatives. Gather, analyze, document, and validate business and system requirements related to provider operations and reimbursement processes. Collaborate with business and technical stakeholders to translate provider network and pricing requirements into scalable system solutions. Perform impact analysis for regulatory mandates, enhancements, system upgrades, and modernization initiatives. Analyze end-to-end provider lifecycle processes, including provider setup, credentialing integrations, contracting, network participation, and reimbursement methodologies. Support FACETS implementation, migration, upgrade, and transformation programs. Develop business requirements documents, functional specifications, process flows, use cases, and data mapping documentation. Conduct root cause analysis and recommend solutions for complex provider and pricing-related issues. Partner with development, QA, architecture, and support teams throughout the SDLC lifecycle. Support User Acceptance Testing (UAT), defect triage, deployment validation, and post-production support activities. Facilitate stakeholder meetings, solution workshops, and business process discussions. Provide production support expertise for provider configuration, network management, and pricing-related issues. Required Qualifications Experience 10+ years of experience as a Business Systems Analyst or Business Analyst. Minimum 5+ years of hands-on experience with the TriZetto FACETS platform. Extensive Healthcare Payer domain experience. Proven experience supporting complex FACETS implementations, regulatory mandates, and upgrade initiatives.

Required Skills SME-level expertise in

FACETS Provider Module Provider Configuration & Maintenance Provider Network Management Contracting & Reimbursement Models Pricing Configuration FACETS Front-End Functionality FACETS Batch Processing FACETS Backend Data Models Strong understanding of Healthcare Payer provider operations and network management processes. Advanced SQL skills with the ability to write complex queries for analysis, data validation, troubleshooting, and solution design. Experience analyzing provider network, contracting, fee schedule, pricing, and reimbursement business processes. Strong requirements gathering, business process analysis, and solutioning capabilities. Experience creating functional specifications, business rules, gap analysis, and system documentation. Excellent communication, stakeholder management, and facilitation skills. Ability to effectively collaborate with business, operational, and technical teams.

Preferred Qualifications Business Analysis certifications such as

CBAP (Certified Business Analysis Professional) CCBA (Certification of Capability in Business Analysis) PMI-PBA (Professional in Business Analysis) Experience supporting healthcare regulatory and compliance initiatives. Familiarity with Agile delivery methodologie