Vaiticka Solution · 23 hours ago
Business or System Analyst (Facets Workflow and claims)
United States
Contract
Remote
Senior Level
$55/hr - $55/hr
5+ years expVaiticka Solution is looking for a Business or System Analyst specializing in Facets Workflow and claims. The role involves analyzing and optimizing claims and benefits workflows within the Facets platform, including reviewing workflow rules and supporting clients in improving operations.
Information Technology & Services
Hiring Manager
Vikram Pratap Singh
Responsibilities
Review 4000+ Facets workflow rules and identify state‑specific and group‑specific customizations
Map rule dependencies and evaluate downstream impact across claims, membership, billing, and provider modules
Document differences between baseline and client‑specific configurations
Work with business, configuration, and QA teams to validate rule behavior
Recommend optimizations, including consolidation of redundant rules
Qualification
Required
5–8 years as a Business or System Analyst working with Facets
Strong understanding of claims workflows, provider validation, and benefits administration
Experience reviewing large rule/configuration repositories
Solid knowledge of US healthcare payer operations
Ability to interpret and analyze complex rules and configurations
Strong documentation and communication skills
Preferred
Facets Workflow Rules Configuration
SQL for rule impact analysis
Facets Data Model & Operations
Knowledge of state/regulatory variations
Critical thinking & problem solving
Leadership & collaboration
Ability to manage large rule inventories
Company
Vaiticka Solution
Our brand’s primary goal is to offer the necessary recruitment solutions to our corporate clients.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase