Description

The Client seeks an experienced Business Systems Analyst (BSA) - Membership with deep expertise in the TriZetto FACETS Membership platform, including Enrollment and Billing operations in a Healthcare Payer environment.

This role serves as a Subject Matter Expert (SME), driving business analysis, solution design, system enhancements, regulatory mandates, and FACETS modernisation initiatives.

The ideal candidate will possess strong functional and technical knowledge of FACETS Membership processes, backend data models, batch operations, and advanced SQL analysis while partnering with business stakeholders, technology teams, and operational leaders to deliver high-impact solutions.

Requirements:

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 projects.

Required Skills:

SME-level expertise in: FACETS Membership Enrollment & Eligibility Billing & Premium Management FACETS Front-End Functionality FACETS Batch Processing FACETS Backend Data Models Strong understanding of Healthcare Payer membership lifecycle processes.

Advanced SQL skills with the ability to write complex queries for analysis, data validation, troubleshooting, and solution design.

Experience analyzing membership, enrollment, billing, eligibility, and premium-related business processes. Strong requirements gathering, business process analysis, and solutioning skills.

Experience creating functional specifications, business rules, and system documentation.

Preferred:

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 methodologies and tools such as JIRA, Azure DevOps, and ServiceNow. Exposure to Claims, Provider, and Core FACETS Administration functions.

Key Competencies: Membership & Enrollment Domain Expertise Billing & Premium Management Knowledge FACETS

Key Skills

Education

Bachelor's degree