
501 - 1000 employees
Founded 1999
🏥 Healthcare
💼 Consulting
🤝 B2B
Healthcare • Consulting • B2B
Catalyst Solutions is a provider of cost‑effective, intelligent business solutions exclusively to health plans, with over 25 years of experience. It offers consulting for plan strategy, operations, and technology; AI enablement; and business process outsourcing (claims, contact center, enrollment, configuration, administrative & general) delivered on its Catalyze platform or integrated with client systems. Its specialties include enterprise architecture, IT consulting, managed services, payer core systems and configurations (Facets, QNXT, Tapestry, HealthRules), clinical and care management, medical management, and systems performance optimization for managed care organizations and health plan operations.
🔥 10 minutes ago
Where this job comes from
Posted on Catalyst Solutions's careers page, not through a job board
First seen by Remote Rocketship 10 minutes ago

501 - 1000 employees
Founded 1999
🏥 Healthcare
💼 Consulting
🤝 B2B
Healthcare • Consulting • B2B
Catalyst Solutions is a provider of cost‑effective, intelligent business solutions exclusively to health plans, with over 25 years of experience. It offers consulting for plan strategy, operations, and technology; AI enablement; and business process outsourcing (claims, contact center, enrollment, configuration, administrative & general) delivered on its Catalyze platform or integrated with client systems. Its specialties include enterprise architecture, IT consulting, managed services, payer core systems and configurations (Facets, QNXT, Tapestry, HealthRules), clinical and care management, medical management, and systems performance optimization for managed care organizations and health plan operations.
• Analyze business requirements and translate them into functional and technical specifications • Configure, test, and support health plan systems, including claims, enrollment, eligibility, and benefits platforms • Collaborate with cross-functional teams (IT, Operations, Compliance, Client Services) to identify and resolve system issues • Perform data analysis and generate reports to support business decision-making • Assist with system implementations, upgrades, and integrations • Document system processes, workflows, and configuration changes • Conduct user acceptance testing (UAT) and validate system changes before deployment • Provide troubleshooting support and root-cause analysis for technical issues • Ensure compliance with HIPAA, state, and federal regulations related to health plan data and systems • Support ongoing process improvement initiatives related to technology and operations
• Bachelor's degree in Information Technology, Computer Science, Business, or related field (or equivalent experience) • Experience in health plan, healthcare, or health insurance technology environments preferred • Familiarity with core administration platforms (e.g., QNXT, Facets, HealthRules, or similar) a plus • Strong analytical and problem-solving skills • Excellent written and verbal communication skills • Ability to translate business requirements into technical specifications • Experience with MS Office Suite (Excel, Visio, PowerPoint) • Knowledge of HIPAA, compliance, and regulatory requirements in healthcare a plus
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