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Facets Configuration Jobs (NOW HIRING)

Staffingine LLC

Facets Functional Lead

Seattle, WA · On-site

Facets Functional Lead Job Location: Seattle, WA Job Type: Contract Candidate must have : * Solid ... Manage system configuration, benefit setup, product design, plan builds, membership/claims ...

Futran Tech Solutions Pvt. Ltd.

Facets with Pre-Auth

Role: Facets with Pre-Auth Location: Remote What is in it for you? As an Facets with pre-Auth you ... The consultant will analyze and review the existing Pre-Auth/UM rules configuration (both core and ...

Sentara

Sr. Configuration Analyst

Richmond, VA · Remote

$10K/mo

Sentara Health Plans is looking to hire a Remote Sr. Configuration Analyst. This is a remote ... Experience with QNXT preferred but will accept experience with Facets We provide market-competitive ...

Sentara

Sr. Configuration Analyst

Richmond, VA · Remote

Sentara Health Plans is looking to hire a Remote Sr. Configuration Analyst. This is a remote ... Experience with QNXT preferred but will accept experience with Facets We provide market-competitive ...

BCT LLC

Configuration Manager

Fort George G Meade, MD

$93K - $133K/yr

BCT LLC is seeking a Configuration Manager (CM) of developmental and operational systems. The ... All facets of employment, including the decision to hire, promote, discipline, or discharge, will ...

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BCT LLC

Configuration Manager

Fort George G Meade, MD

$93K - $133K/yr

BCT LLC is seeking a Configuration Manager (CM) of developmental and operational systems. The ... All facets of employment, including the decision to hire, promote, discipline, or discharge, will ...

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Facets Configuration information

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$37.5K

$95.9K

$144.5K

How much do facets configuration jobs pay per year?

As of Jun 13, 2026, the average yearly pay for facets configuration in the United States is $95,935.00, according to ZipRecruiter salary data. Most workers in this role earn between $76,000.00 and $112,000.00 per year, depending on experience, location, and employer.

What are some common challenges faced by Facets Configuration specialists in their daily work?

Facets Configuration specialists often encounter complex system integration issues and must ensure that all configurations meet both technical requirements and regulatory standards in the healthcare industry. Balancing the needs of multiple departments, such as claims, provider management, and member services, can add to the complexity of the role. Clear documentation, ongoing communication with cross-functional teams, and proactive troubleshooting are crucial for navigating these challenges. By staying updated on system upgrades and regulatory changes, specialists can help prevent disruptions and ensure consistent, high-quality system performance.

What is a Facets Configuration job?

A Facets Configuration job involves setting up and maintaining the Facets system, a healthcare administration platform used by insurance companies. This role includes configuring benefits, claims processing, provider networks, and member management settings to meet business requirements. Professionals in this role ensure accuracy, compliance with regulations, and efficient system performance. They collaborate with business analysts, developers, and QA teams to implement changes and optimize workflows. Strong analytical skills and knowledge of healthcare insurance processes are essential for success in this role.

What are the key skills and qualifications needed to thrive in the Facets Configuration position, and why are they important?

To thrive as a Facets Configuration specialist, you need a strong background in healthcare claims processing, business analysis, and system configuration, often supported by experience with the Facets core administration platform. Proficiency in using Facets software, SQL, and understanding of HIPAA guidelines are highly valued, with certifications in Facets configuration or healthcare IT serving as an advantage. Excellent problem-solving abilities, attention to detail, and strong communication skills enable effective collaboration with both technical and business stakeholders. These skills are essential to ensure accurate system set-up, maintain compliance, and optimize business processes within healthcare organizations.

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Facets Configuration jobs near you
Config Auditor/Analyst

Config Auditor/Analyst

Amerihealth Caritas

Philadelphia, PA • On-site, Remote

Full-time

Medical, Retirement, PTO

Posted 27 days ago

AmeriHealth Caritas rating

8.5

Company rating: 8.5 out of 10

Based on 69 frontline employees who took The Breakroom Quiz

87th of 261 rated insurance

Job description

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Your career starts now. We're looking for the next generation of health care leaders.

At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

Responsibilities:

Audit and analyze all Facets configuration changes completed by the configuration analysts to ensure that all modifications have been completed correctly. Review all associated documentation for completeness. Communicate with the configuration analyst, configuration team lead, tester, and requestor as required to ensure the request is completed as intended. Document all issues identified in the audit process and communicate the audit outcome to the appropriate persons. The auditor will validate production to ensure that the case is migrated appropriately. After changes migrate into production, a full post-implementation review is completed as the policy outlines. The auditor will be expected to build/run complex queries to identify claims affected by the configuration change and analyze all claims to ensure that all outcomes are accurate based on the request. Auditors must possess a comprehensive knowledge of technical and workflow process components of claims processing.All auditors must attend ongoing training as needed and meet all production and quality goals to assist the team in meeting all required Service Level Agreements.

Education/Experience:

  • High School Diploma/GED required
  • Bachelor's Degree preferred
  • Minimum of 1 year of advanced-level claims experience and auditing experience
  • Minimum of 3 years of system configuration experience
  • Facets claim processing knowledge required
  • Microsoft Access or equivalent relational database application experience
  • Ability to build complex queries, reports, and macros

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

Employment Type: FULL_TIME

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