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Facets Benefit Configuration Analyst Jobs (NOW HIRING)

Facets configuration analysts with experience in product build and NetworX configuration. Required ... Knowledge of claims and how that goes into product and benefit configuration This is a remote ...

SQL * SQL/Database experience. * Healthcare claim understanding/benefit configuration. * Facets * Informatica * Analytical & problem-solving skill Operating System: Windows Applications: Facets ...

NY ยท On-site

$10K/mo

The Senior Benefit Configuration Analyst is responsible for the analysis, design, build, and validation of complex benefit configurations within the QNXT platform to support accurate claims ...

$10K/mo

The Senior Benefit Configuration Analyst is responsible for the analysis, design, build, and validation of complex benefit configurations within the QNXT platform to support accurate claims ...

Configure and maintain Facets modules including benefits, providers, products, contracts, pricing ... Analyze business requirements and translate them into detailed configuration specifications.

Configure and maintain Facets modules including benefits, providers, products, contracts, pricing ... Analyze business requirements and translate them into detailed configuration specifications.

Facets Pricing Configuration Analyst Location: Dayton, OH - (8 Positions Remote) Hire Type: Contact - 6+ Months Job Roles/Responsibilities Configure the agreements, Fee Schedules and test making them ...

We are looking for a Sr. HealthRules, Facets, or QNXT Configuration Analyst with experience in Product/Benefits, Pricing, Provider, and Claims. The Sr. HealthRules, Facets, or QNXT Configuration ...

We are looking for a Sr. HealthRules, Facets, or QNXT Configuration Analyst with experience in Product/Benefits, Pricing, Provider, and Claims. The Sr. HealthRules, Facets, or QNXT Configuration ...

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Facets Benefit Configuration Analyst information

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$41

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How much do facets benefit configuration analyst jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for facets benefit configuration analyst in the United States is $41.31, according to ZipRecruiter salary data. Most workers in this role earn between $30.53 and $52.88 per hour, depending on experience, location, and employer.

What is a Facets Benefit Configuration Analyst?

A Facets Benefit Configuration Analyst is a professional who specializes in configuring and maintaining benefit plans within the Facets healthcare administration software. They ensure that health plans are accurately set up in the system to correctly process claims and administer benefits. Analysts work closely with business teams to interpret benefit requirements, translate them into system rules, and perform testing to verify correct implementation. Their work helps health insurance organizations deliver accurate services to members and comply with regulatory requirements.

What are some common challenges Facets Benefit Configuration Analysts face when working with complex benefit plan designs?

Facets Benefit Configuration Analysts often encounter challenges when interpreting and translating intricate benefit plan documents into system configurations. These plans can have nuanced rules and exceptions, requiring strong attention to detail and close collaboration with business analysts or plan designers. Ensuring accuracy while meeting tight implementation deadlines and managing updates for regulatory compliance are also common hurdles. Analysts typically work within cross-functional teams, so effective communication and problem-solving skills are essential to resolve issues and ensure smooth plan setup.

What are the key skills and qualifications needed to thrive as a Facets Benefit Configuration Analyst, and why are they important?

To thrive as a Facets Benefit Configuration Analyst, you need strong analytical skills, experience in healthcare benefit configuration, and a solid understanding of claims processing, typically supported by a relevant bachelor's degree. Proficiency with TriZetto Facets software, SQL, and familiarity with healthcare data standards or certifications like AHIP are highly valued. Attention to detail, problem-solving abilities, and effective communication are crucial soft skills for success in this role. These skills ensure accurate system setup, regulatory compliance, and effective collaboration with cross-functional teams to deliver reliable health plan administration.

What cities are hiring for Facets Benefit Configuration Analyst jobs?

Cities with the most Facets Benefit Configuration Analyst job openings:

What states have the most Facets Benefit Configuration Analyst jobs?

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Infographic showing various Facets Benefit Configuration Analyst job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 33% In-person, and 67% Remote job distribution, with an average salary of $85,935 per year, or $41.3 per hour.

Healthcare Configuration Consultant / Analyst (Facets & SQL)

Mason, OH โ€ข Hybrid

$50 - $60/hr

Contractor

Re-posted 17 days ago


Job description

Healthcare Systems Configuration Analyst (FACETS, SQL)

Location: Mason, OH 45040 (Hybrid – 3 days per week onsite - Mason, OH)

Duration: 6 Months with Possible extension

Work Hours: 8:00 AM – 5:00 PM (1-hour break)

Weekly Hours: 40 hours

Experience & Education

  • Experience Required: 6+ years
  • Education: Bachelor’s degree or equivalent work experience (flexible)

ROLE SUMMARY

  • Serve as a Sr. Configuration Analyst on the Business Configuration Solutions team, responsible for enabling member benefit configuration strategies by designing, implementing, and executing configuration solutions.
  • This role is 60% hands-on configuration and 40% cross-functional collaboration, including leading meetings, capturing business requirements, testing execution, and troubleshooting Medicaid product implementations.
  • The analyst will act as a Subject Matter Expert (SME) interfacing with cross-functional teams to deliver system and process solutions using FACETS and supporting automation tools.

Key Responsibilities

  • Serve as a Subject Matter Expert representing the Configuration workstream for large Government Implementations (Medicaid, Medicare, Med/Surgical).
  • Design, build, troubleshoot, and prototype Medicaid products using FACETS.
  • Lead and represent cross-functional meetings to gather and document business requirements.
  • Capture and document business requirements, process flows, and functional specifications.
  • Execute testing, claims validation, and troubleshooting for configuration enhancements.
  • Perform data analysis and validation by removing duplicates, errors, and outliers.
  • Build SQL queries to extract backend data supporting configuration and testing needs.
  • Conduct Fit/Gap Analysis for new client plans and provide configuration feedback.
  • Collaborate with leadership on the Configuration roadmap and automation initiatives.
  • Self-manage workload to meet SLAs and KPIs for project delivery.
  • Maintain strong working relationships with stakeholders across all levels of leadership.

Mandatory Skills (Must Have)

  • FACETS (Healthcare Claims & Benefit Configuration)
  • Healthcare claims understanding / benefit configuration
  • SQL / Database experience
  • Medicaid product configuration experience
  • Strong analytical and problem-solving skills
  • Ability to lead and represent cross-functional meetings
  • Business requirements gathering & documentation
  • Testing execution & claims validation

Tools & Technologies

  • FACETS (Claims testing & configuration)
  • Oracle SQL (Data extraction & validation)
  • Automation tools (Informatica-based, homegrown)
  • Windows OS

Desired / Preferred Qualifications

  • 4+ years of FACETS platform experience
  • Experience with Medical Plan Benefit Configuration
  • Provider Network & Agreement Configuration
  • Strong understanding of Medicare / Medicaid
  • Excellent communication and stakeholder management skills
  • Ability to learn quickly and operate independently in complex environments