Business Systems Analyst

About the role

UST is a mission‑driven, digitally‑focused organization of 29,000+ problem solvers operating in more than 30 countries. The Business Systems Analyst Consultant I will serve as the primary Business Systems Analyst and subject‑matter expert for the TriZetto FACETS Provider platform, focusing on Provider Configuration, Network Management, and Pricing.

Responsibilities

• 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.

Requirements

• 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.
• 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.

Preferred qualifications

• Business analysis certifications such as CBAP, CCBA, or PMI‑PBA.
• 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

Location: Washington

Compensation range: $88,000 – $132,000 (actual compensation may vary based on office location, role, skill set, education, and experience).

Benefits

• Minimum 10 days of paid vacation per year (full‑time regular employees).
• 6 days of paid sick leave per year (pro‑rated for new hires); part‑time and temporary employees receive 6 days of paid sick leave.
• 10 paid holidays, paid bereavement leave, and jury‑duty leave.
• 401(k) Retirement Plan with employer matching for all eligible employees.
• Medical, dental, and vision insurance for employees and US‑based dependents.
• Company‑paid employee‑only benefits: basic life insurance, accidental death and disability insurance, short‑ and long‑term disability benefits.
• Optional voluntary short‑term disability coverage, Health Savings Account (HSA), and Flexible Spending Account (FSA) for healthcare, dependent child care, and commuting expenses.
• Benefits offerings may vary in Puerto Rico.

What we believe

UST embraces the values of Humility, Humanity, and Integrity. These values shape a people‑first, human‑centric culture that prioritizes diversity, sustainable solutions, and the well‑being of our people and clients.