Principal Business Systems Analyst

Job Title: Principal Business Systems Analyst

* No C2C/ No Sponsorship/ No 1099*

Location: Remote

Position Type: 12+ Month Contract

Pay rate range: $60-69/hr W2 Only

• Facets tool Knowledge with deep understanding of Medical Product configuration, Group/member enrollment, provider network config and claims.
• Good understanding of Facets data Model.
• Microsoft SQL.
• MS Excel

1.Facets Product Configuration Analyst Duration:
Mid-September 2026 – December 2027

• Document detailed Facets product configuration requirements (BCRs), including benefit codes, exceptions, provider tiering, and benefit administration rules.
• Develop detailed configuration design documents that translate business requirements into Facets system setup specifications.
• Create and maintain requirements-to-test traceability to ensure all requirements are fully validated through testing.

• Partner with Claims, UM, Care Management, and Service teams to gather detailed requirements for claims routing, exception handling, and manual review processes.
• Develop detailed Facets workflow design documents, build configurations, and support claims and service testing activities.

• Lead the Facets configuration and maintenance of most complex and highly critical system tables and data elements across multiple system environments
• Lead the analysis, development and implementation of configuration changes to improve system performance and user efficiency
• Coordinate and monitor configuration for accuracy and compliance to change control processes.
• Own the end to end delivery of projects assigned to - this involves requirement documentation, design completion, Facets build delivery and test support.

• Provide significant business acumen (breadth and depth) and global technical expertise in critical systems/applications to support proactive Facets configuration solutioning for highly complex and varied business issues, while considering broader impacts of technical decisions to the current and future state business environment.
• Act as domain SME for IT projects to help map their data needs to Facets configuration applications.
• Act as configuration SME to triage any Facets integration solutions developed by IT partners
• Lead the review, analysis and development of solutions for highly critical business systems, which may have impacts across multiple business areas or systems/applications.
• Review the test scenarios, give feedback to testers; review claims test results; sometimes perform shadow testing to ensure complex configuration solution is working as we expect.
• Leads work groups in assessment of business issues and facilitates the resolution of most complex or broad system/application problems by:
• Coordinating initial triage for severity and business impact of system/application failures.
• Leading the troubleshooting and analysis necessary to determine root cause of issues.
• Coordinating the development of applicable business processes and solutions, to ensure quality, cost effectiveness, timeliness of customer service, and regulatory requirements and mandates are met.
• End to end issue resolution support, like claims remediation support, impact analysis, process updates etc.