Role description

Business Systems Analyst (FACETS Membership)

Manager I - HealthPlan

UST is searching for an experienced Business Systems Analyst (BSA) - Membership with deep expertise in the TriZetto FACETS Membership platform, including Enrollment and Billing operations within a Healthcare Payer environment.

The opportunity:
• Serve as the primary Business Systems Analyst and SME for FACETS Membership, Enrollment, and Billing initiatives
• Drive business analysis, solution design, system enhancements, regulatory mandates, and FACETS modernization initiatives
• Analyze end-to-end Membership and Billing workflows to identify process improvements and optimization opportunities
• Conduct root cause analysis and solution assessments for complex business and system issues
• Develop business requirements documents, functional specifications, process flows, use cases, and data mapping documents
• Create functional specifications and business rules documentation
• Support FACETS implementation, migration, upgrade, and transformation initiatives
• Work closely with development, QA, architecture, and operations teams during design, testing, deployment, and support phases
• Support User Acceptance Testing (UAT), defect triage, production validation, and post-implementation 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 projects
• Required Skills:
• SME-level expertise in FACETS Membership, Enrollment & Eligibility, Billing & Premium Management, FACETS Front-End Functionality, FACETS Batch Processing, and 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
• Strong communication and stakeholder management capabilities
• Ability to bridge business and technical teams to deliver scalable solutions
• Key Competencies:
• Membership & Enrollment Domain Expertise
• Billing & Premium Management 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, Provider, 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: $83,000-$125,000

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.

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