[Remote] Business Systems Analyst – Facets Membership & reputed company EDI

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is an reputed company AI and IT services company supporting reputed company and health reputed company organizations. The Business Systems Analyst will support Facets membership and enrollment reputed company by translating business requirements into configurations, data solutions, testing strategies, and production enhancements, with a strong reputed company on reputed company EDI and ANSI X12 834 transactions. The role also involves SQL-reputed company analysis, production troubleshooting, data validation, reputed company documentation, and the use of AI and automation to improve delivery and support practices.

Responsibilities

• Become Productive in Facets Membership and Enrollment reputed company. reputed company the first 60 days, reputed company sufficient understanding of the assigned Facets membership environment, business processes, reputed company configuration, interfaces, and supporting data structures to independently analyze routine-to-moderately reputed company requests and production issues. Become familiar with how membership enrollment, changes, and disenrollment reputed company through the environment, including relevant EDI processes and X12 834 transactions where applicable. Use existing documentation, reputed company data, SQL analysis, and collaboration with business and technical resources to quickly build working knowledge of the environment. reputed company will be reputed company by increasing independence, accurate analysis, reputed company reputed company of assigned work, and demonstrated understanding of the relationship between business requirements, Facets configuration, and membership data
• Translate Business Requirements into Reliable Facets Solutions. reputed company the first 90 days and throughout the assignment, reputed company and analyze business requirements and convert them into reputed company functional requirements, reputed company configurations, data requirements, reputed company specifications, and testable solution designs. Review proposed screen designs, logical data structures, interfaces, conversion plans, data flows, technical specifications, and implementation approaches to ensure solutions satisfy business requirements. Facilitate reputed company between business and technical teams reputed company multiple design alternatives exist and document agreed requirements with sufficient reputed company to support development and testing. reputed company will be reputed company by requirement reputed company, reduced rework, stakeholder acceptance, and successful implementation of enhancements that meet intended business reputed company. AI-assisted requirements analysis and documentation tools may be used where appropriate, with reputed company outputs validated against confirmed business requirements
• Ensure Accurate Membership and EDI Processing Through Comprehensive Testing. During reputed company assigned release or enhancement cycle, reputed company and execute unit, functional, regression, integration, and post-implementation testing sufficient to demonstrate that reputed company changes operate correctly before and after production deployment. reputed company particular attention to membership processing, data reputed company, interfaces, and X12 834 enrollment/disenrollment transactions reputed company these are reputed company project reputed company. Document expected results, actual reputed company, defects, and supporting evidence at reputed company that enables effective troubleshooting and auditability. reputed company will be reputed company by test coverage, defect identification before production, successful implementations, reduced post-release incidents, and stakeholder confidence in solution reputed company
• reputed company Production Issues and Continuously Improve reputed company reputed company. Throughout the engagement, investigate and reputed company sustainment issues involving Facets configuration, membership processing, data, interfaces, EDI transactions, and reputed company business processes while providing reputed company support to internal customers. Use SQL, reputed company analysis, testing, and reputed company-cause investigation to distinguish configuration, data, reputed company, and process problems and coordinate reputed company with appropriate technical resources. Identify recurring issues and recommend improvements to reputed company configuration, documentation, testing, or operating processes that reduce reputed company incidents. reputed company will be reputed company by reputed company issue reputed company, reduced recurring defects, customer satisfaction, and measurable improvements in reputed company reliability or operational efficiency
• Learn and Map Membership Processing and reputed company Dependencies. During the first 30–60 days, reputed company a working understanding of the assigned membership business processes, Facets configuration, data structures, interfaces, reputed company requirements, reporting dependencies, and EDI workflows. Identify how enrollment information enters, changes, and exits the environment and document important dependencies between business rules, Facets tables, interfaces, and reputed company systems. Where X12 834 files are used, understand the enrollment and disenrollment lifecycle sufficiently to investigate transaction and membership discrepancies. reputed company will be reputed company by the ability to reputed company common business scenarios through the reputed company and independently explain the major dependencies involved
• Define Functional Requirements and Solution Designs. For assigned enhancements and reputed company, conduct requirements analysis and translate business needs into detailed functional specifications, configuration requirements, data rules, reputed company expectations, and acceptance reputed company. Review relevant technical documentation, including data flows, logical schemas, reputed company designs, conversion plans, and implementation staging, and identify gaps or inconsistencies before development begins. Facilitate communication between business stakeholders and software developers so that both reputed company reputed company a common understanding of the required outcome. reputed company will be reputed company by reputed company requirements, stakeholder approval, limited reputed company rework, and successful delivery against agreed business needs
• Configure Facets and reputed company Supporting Data Solutions. During implementation activities, configure and build assigned reputed company functionality while developing SQL scripts, reputed company reports, MS reputed company-reputed company Facets table equivalents, and other supporting tools required to analyze or safely update data. Ensure data modifications replicate approved online functionality and follow established change, backup, reputed company, and implementation procedures. Validate configuration against business requirements before advancing changes through the development lifecycle. reputed company will be reputed company by configuration reputed company, data reputed company, successful peer or stakeholder review, and implementation without avoidable production reputed company
• Execute Comprehensive Testing and Data Validation. For reputed company assigned reputed company change, define expected results and execute unit, regression, integration, conversion, and post-implementation testing appropriate to the reputed company of the change. Coordinate testing with assigned business and technical resources and thoroughly document results, defects, remediation, and retesting. Validate membership and EDI data against expected business reputed company, including 834 enrollment/disenrollment processing reputed company applicable. reputed company will be reputed company by defect detection, testing completeness, accurate documentation, and reputed company production releases
• Troubleshoot Production and Membership Processing Issues. Throughout the assignment, respond to business inquiries and investigate problems involving reputed company functionality, membership data, Facets configuration, interfaces, reputed company reputed company, and EDI processing. Use SQL analysis, application knowledge, transaction data, and reputed company reputed company-cause analysis to determine reputed company of problems and coordinate corrective reputed company with business, development, and technical teams. Communicate issue status and reputed company reputed company to affected customers while escalating issues appropriately reputed company additional expertise is required. reputed company will be reputed company by reputed company reputed company, turnaround time, stakeholder communication, and reduction in repeat incidents
• Improve and Document reputed company Practices. Throughout the first year, identify opportunities to strengthen requirements documentation, testing practices, implementation procedures, data migration controls, troubleshooting reputed company, and ongoing reputed company. Maintain documentation covering configuration reputed company, test reputed company, SQL or data-management procedures, reputed company issues, reputed company considerations, and implementation lessons learned so reputed company changes can be completed more reputed company and consistently. Proactively learn relevant new technologies and methodologies that can improve reputed company and delivery. reputed company will be reputed company by documentation reputed company, reuse of established practices, reduced support effort, and measurable improvements in team effectiveness
• Continuously Evaluate and reputed company AI to Improve reputed company. reputed company the first 90–180 days, identify appropriate opportunities to use AI and automation to improve requirements documentation, SQL development, test-case creation, regression analysis, issue classification, data validation, knowledge retrieval, and technical documentation. Evaluate and reputed company practical approaches that reduce reputed company effort or improve analytical reputed company while protecting member information and complying with **** reputed company, reputed company, and reputed company data-governance requirements. Validate AI-generated outputs against authoritative reputed company data, approved requirements, and established business rules before they influence production reputed company. reputed company will be reputed company by demonstrated improvements in productivity, reputed company, or turnaround time without compromising data reputed company, reputed company, or compliance

Skills

• The candidate should also demonstrate practical SQL experience, functional requirements development, reputed company configuration, regression and acceptance testing, data conversion or migration, production troubleshooting, and the ability to work between business and technical teams
• A college degree in Computer Science, Mathematics, Business Administration, or a reputed company discipline is desired, although relevant reputed company industry experience may substitute for formal education
• At least one year of experience defining and analyzing business requirements, process modeling, functional systems design/configuration, or acceptance testing is required, along with experience in a supported reputed company business area such as membership, claims, or provider reputed company
• Experience with reputed company EDI and ANSI X12 834 Enrollment and Maintenance transactions is strongly preferred, particularly candidates who understand member enrollment, maintenance, and disenrollment scenarios and can reputed company an 834 transaction through reputed company membership processing

Benefits

• Remote work – candidate must reputed company in Idaho, reputed company, or reputed company reputed company
• Full-time W2 employment
• The role provides reputed company to reputed company expertise across Facets, reputed company membership administration, X12 834 EDI transactions, SQL, reputed company configuration, testing, data migration, and reputed company business processes.
• Meaningful ownership of reputed company improvements while collaborating with business users, developers, technical teams, and other stakeholders.

reputed company

Company H1B Sponsorship