Business Systems Analyst

Business Systems Analyst

Consultant I

Who We Are:

Born digital, UST transforms lives through the power of technology. We walk alongside our clients and partners, embedding innovation and agility into everything they do. We help them create transformative experiences and human-centered solutions for a better world.

UST is a mission-driven group of 29,000+ practical problem solvers and creative thinkers in more than 30 countries. Our entrepreneurial teams are empowered to innovate, act nimbly, and create a lasting and sustainable impact for our clients, their customers, and the communities in which we live.

With us, you'll create a boundless impact that transforms your career-and the lives of people across the world.

Visit us at UST.com.

You Are:

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.

The opportunity:

* Serve as the primary Business Systems Analyst and SME for FACETS Provider, Network, and Pricing initiatives

* Drive strategic Healthcare Payer initiatives, FACETS implementations, regulatory mandates, system enhancements, and upgrade programs

* Analyze end-to-end provider lifecycle processes, including provider setup, credentialing integrations, contracting, network participation, and reimbursement methodologies

* Perform impact analysis for regulatory mandates, enhancements, system upgrades, and modernization initiatives

* Develop business requirements documents, functional specifications, process flows, use cases, and data mapping documentation

* Create functional specifications, business rules, and gap analysis documentation

* Support FACETS implementation, migration, upgrade, and transformation programs

* 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

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

What you need:

* 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, and 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

* Key Competencies:

* Provider Network Management Expertise

* Pricing & Reimbursement Knowledge

* FACETS Subject Matter Expertise

* Complex SQL & Data Analysis

* Requirements Elicitation & Documentation

* Business Process Modeling

* Solution Design & Validation

* Stakeholder Management

* Root Cause Analysis

* Agile & Waterfall Delivery

* Preferred Qualifications:

* Business Analysis certifications such as CBAP (Certified Business Analysis Professional), CCBA (Certification of Capability in Business Analysis), or 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, Membership, Billing, and Core FACETS Administration functions

Compensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience. UST provides a reasonable range of compensation for roles that may be hired in various U.S. markets as set forth below.

Role Location: Washington

Compensation Range: $88,000-$132,000

Benefits

Full-time, regular employees accrue a minimum of 10 days of paid vacation per year, receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year), 10 paid holidays, and are eligible for paid bereavement leave and jury duty. They are eligible to participate in the Company's 401(k) Retirement Plan with employer matching. They and their dependents residing in the US are eligible for medical, dental, and vision insurance, as well as the following Company-paid Employee Only benefits: basic life insurance, accidental death and disability insurance, and short- and long-term disability benefits. Regular employees may purchase additional voluntary short-term disability benefits, and participate in a Health Savings Account (HSA) as well as a Flexible Spending Account (FSA) for healthcare, dependent child care, and/or commuting expenses as allowable under IRS guidelines. Benefits offerings vary in Puerto Rico.

Part-time employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year) and are eligible to participate in the Company's 401(k) Retirement Plan with employer matching.

Full-time temporary employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year) and are eligible to participate in the Company's 401(k) program with employer matching. They and their dependents residing in the US are eligible for medical, dental, and vision insurance.

Part-time temporary employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year).

All US employees who work in a state or locality with more generous paid sick leave benefits than specified here will receive the benefit of those sick leave laws.

What we believe:

We proudly embrace the values that have shaped UST since day one. We build our culture of Humility, Humanity, and Integrity. These values inspire us to nurture a people-first, human centric culture that fosters diversity, prioritizes sustainable solutions, and keeps our people and clients at the forefront of all decisions.

Humility:

We will listen, learn, be empathetic and help selflessly in our interactions with everyone.

Humanity:

Through business, we will better the lives of those less fortunate than ourselves.

Integrity:

We honor our commitments and act with responsibility in all our relationships.

Equal Employment Opportunity Statement

UST is an Equal Opportunity Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other applicable characteristics protected by law. We will consider qualified applicants with arrest or conviction records in accordance with state and local laws and "fair chance" ordinances.

UST reserves the right to periodically redefine your roles and responsibilities based on the requirements of the organization and/or your performance.

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FACETS, SQL, Business Analysis, Provider Data Management