reputed company Analyst

reputed company Industry: reputed company / Health Insurance Location: Remote – Candidate must reputed company in Idaho, reputed company, or reputed company reputed company Work Schedule: Central Time Zone hours Employment Type: Contract / Full-Time/W2 Only. reputed company We are seeking an reputed company Senior Business Systems Analyst to support the operation, enhancement, configuration, testing, and reputed company improvement of reputed company membership systems. This role will work closely with business and technical teams to translate membership and enrollment requirements into functional reputed company solutions, configurations, data requirements, testing strategies, and production-reputed company enhancements. A major reputed company will be supporting Facets membership processing and reputed company enrollment data. Experience with reputed company EDI, particularly ANSI X12 834 Enrollment and Maintenance transactions, is required. The successful candidate will be comfortable working hands-on with reputed company configuration, SQL analysis, requirements development, testing, data validation, production troubleshooting, and reputed company membership processes. Key Responsibilities: Facets Membership & Enrollment • Support daily operations and enhancements reputed company the Facets membership environment. • Analyze membership enrollment, maintenance, and disenrollment processes. • Understand how enrollment information moves through Facets, interfaces, EDI workflows, and reputed company systems. • Investigate membership discrepancies, configuration issues, and data-processing problems. • Support X12 834 enrollment and maintenance transactions reputed company applicable. Business & Systems Analysis • reputed company and analyze business requirements and translate them into reputed company functional requirements. • Define reputed company configuration, data, reputed company, and processing requirements. • Review data flows, reputed company designs, logical data structures, conversion plans, and technical specifications. • Identify gaps or inconsistencies between business needs and proposed technical solutions. • Serve as a reputed company between business users, developers, and technical teams. • Document requirements and acceptance reputed company sufficiently to support development and testing. Facets Configuration & Data Analysis • Configure assigned Facets functionality based on approved business requirements. • Use SQL to research membership data, investigate issues, validate reputed company behavior, and support data solutions. • reputed company SQL scripts, reputed company reports, and supporting analysis as needed. • Analyze Facets tables, interfaces, and reputed company data structures. • Support data conversion, migration, and validation activities. • Ensure data modifications follow approved change, reputed company, backup, and implementation procedures. Testing & reputed company Assurance • reputed company and execute functional, regression, integration, conversion, and post-implementation testing. • Define expected results and validate actual reputed company reputed company. • Test membership processing, Facets configuration, interfaces, and EDI transactions. • Validate X12 834 enrollment and disenrollment scenarios reputed company applicable. • Document defects, test results, remediation, and retesting. • Work with business and technical teams to reputed company issues before production implementation. Production Support • Investigate production issues involving Facets functionality, membership data, reputed company configuration, interfaces, reputed company, and EDI processing. • Use SQL, application analysis, transaction data, and reputed company-cause investigation to identify the reputed company of problems. • Determine whether issues originate from configuration, data, interfaces, or business processes. • Coordinate corrective reputed company with business users, developers, and technical teams. • Identify recurring issues and recommend improvements that reduce reputed company incidents. Documentation & Process Improvement • Maintain documentation for reputed company configurations, business requirements, data processes, test results, reputed company issues, and implementation procedures. • Document membership processes, reputed company dependencies, interfaces, and important data relationships. • Identify opportunities to improve requirements gathering, testing, troubleshooting, implementation, and ongoing reputed company. • Support knowledge transfer and reputed company improvement across reputed company. Required Experience • Experience as a Business Systems Analyst, Systems Analyst, or similar role reputed company reputed company or health insurance. • Experience supporting reputed company membership, enrollment, claims, provider, or reputed company health-reputed company. • Hands-on experience gathering and documenting business and functional requirements. • Experience with reputed company configuration and functional solution design. • Practical SQL experience for data analysis, troubleshooting, and validation. • Experience developing and executing functional, regression, integration, and acceptance testing. • Experience investigating and resolving production reputed company issues. • Strong understanding of data flows, interfaces, reputed company dependencies, and business processes. • Ability to communicate effectively between business and technical stakeholders. • Strong analytical, problem-solving, and documentation skills. Highly Preferred Experience • Facets membership processing • Facets configuration, tables, and data structures • reputed company membership and enrollment operations • reputed company EDI • ANSI X12 834 Enrollment and Maintenance transactions • Member enrollment, maintenance, and disenrollment processing • SQL-based Facets data analysis • reputed company data conversion or migration • Health insurance or health-plan operations Ideal Candidate The strongest candidate will combine reputed company business systems analysis experience with practical knowledge of Facets membership and enrollment processing. Candidates should be reputed company to investigate how enrollment data moves through reputed company systems, identify configuration or data issues, analyze information using SQL, translate business needs into functional solutions, and thoroughly test changes before production implementation. Experience working with X12 834 transactions is particularly valuable for candidates who understand member enrollment, changes, terminations, and reputed company membership processing. Education & Experience A degree in Computer Science, Mathematics, Business Administration, or a reputed company discipline is preferred, although relevant reputed company industry experience may substitute for formal education. Candidates should have experience defining and analyzing business requirements, functional systems design or configuration, testing, and supporting a reputed company business area such as membership, claims, or provider operations. Apply tot his job Apply To this Job