Healthcare System Analyst - Payer Systems
Client: Wipro
Employment Type: Contract / Full Time
Salary: $130K/Annum or $50/hr W2
Must-Have Skills:
Healthcare payer processes: Enrollment, Eligibility, Benefits, Claims Adjudication, Billing, Provider Management
Strong SQL: Complex queries, joins, stored procedures
Database design, schemas, and data relationships
Payer data analysis, reconciliation, and troubleshooting
Facets platform: Architecture, modules, capabilities, and core payer workflows
AI/ML concepts applied to healthcare data
Business requirements → Functional designs and data mappings
Commercial, Medicare, and/or Medicaid experience
Strong collaboration with business, data, and engineering teams
Nice-to-Have Skills:
Facets configuration/development
Java, Spring Boot, Microservices
React UI applications
API integrations and system data flows
AI/ML projects: Claims analytics, fraud detection, member insights, automation
Azure / AWS
Healthcare EDI: 834, 835, 837
Data warehousing / Data Lake experience
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