Facets Automation tools: • Testing tools: Oracle SQL for data validation and Facets for claims ... Configuration o Understanding for Medicare/Medicaid. o SQL and Database experience
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Facets Automation tools: • Testing tools: Oracle SQL for data validation and Facets for claims ... Configuration o Understanding for Medicare/Medicaid. o SQL and Database experience
Quick apply
Apply Early
Facets Automation tools: • Testing tools: Oracle SQL for data validation and Facets for claims ... Configuration o Understanding for Medicare/Medicaid. o SQL and Database experience
Apply Early
The candidate should possess strong knowledge of healthcare claims, enrollment, provider, and member workflows along with hands-on experience in Facets configuration/support and modern web ...
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The candidate should possess strong knowledge of healthcare claims, enrollment, provider, and member workflows along with hands-on experience in Facets configuration/support and modern web ...
$60/hr
Remote Responsibilities: - 7 - 10 years in UM/Pre-Auth configuration within FACETS. • Familiarity with UM workflows, clinical guidelines, and state mandates. • Experience working with clinical ...
$60/hr
Remote Responsibilities: - 7 - 10 years in UM/Pre-Auth configuration within FACETS. • Familiarity with UM workflows, clinical guidelines, and state mandates. • Experience working with clinical ...
Portland, OR · On-site
... Facets platform ... The consultant will analyze, review the existing workflow configuration, and conduct requirements ...
Portland, OR · On-site
... Facets platform ... The consultant will analyze, review the existing workflow configuration, and conduct requirements ...
Implements complex new configuration into the powerMHS application. Specifically, the individual ... Good knowledge of Facets data structures. Clearly articulate (both verbal and written) project ...
Implements complex new configuration into the powerMHS application. Specifically, the individual ... Good knowledge of Facets data structures. Clearly articulate (both verbal and written) project ...
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 ...
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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 ...
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Chattanooga, TN · On-site
$108K/yr
Apply deep configuration knowledge of Facets core features, including: oMember Demographics & Eligibility oProduct & Benefit Configuration oClaims Processing (Adjudication, Denials, Balances ...
Chattanooga, TN · On-site
$108K/yr
Apply deep configuration knowledge of Facets core features, including: oMember Demographics & Eligibility oProduct & Benefit Configuration oClaims Processing (Adjudication, Denials, Balances ...
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 ...
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 ...
Implements complex new configuration into the powerMHS application. Specifically, the individual ... Good knowledge of Facets data structures. Clearly articulate (both verbal and written) project ...
Implements complex new configuration into the powerMHS application. Specifically, the individual ... Good knowledge of Facets data structures. Clearly articulate (both verbal and written) project ...
Regarding configuration, we are seeking both hands on experience as well as people who can talk about configuration in a more strategic manner. We are looking for someone with Facets core experience.
Regarding configuration, we are seeking both hands on experience as well as people who can talk about configuration in a more strategic manner. We are looking for someone with Facets core experience.
Be proficient with Facets Configuration with emphasis on Product Config and Shared Advantage line of business * Be proficient in SQL scripts and Facets Data Model and should be able to write complex ...
Be proficient with Facets Configuration with emphasis on Product Config and Shared Advantage line of business * Be proficient in SQL scripts and Facets Data Model and should be able to write complex ...
Be proficient with Facets Configuration with emphasis on Product Config and Shared Advantage line of business * Be proficient in SQL scripts and Facets Data Model and should be able to write complex ...
Be proficient with Facets Configuration with emphasis on Product Config and Shared Advantage line of business * Be proficient in SQL scripts and Facets Data Model and should be able to write complex ...
Eden Prairie, MN · On-site
$110K - $125K/yr
Lead end-to-end delivery, configuration, and support of TriZetto Payment Bundling Application (PBA ... Support Facets claims adjudication processes, including integration and pricing workflows ...
Eden Prairie, MN · On-site
$110K - $125K/yr
Lead end-to-end delivery, configuration, and support of TriZetto Payment Bundling Application (PBA ... Support Facets claims adjudication processes, including integration and pricing workflows ...
The Configuration and Data Management (CDM) Point of Contact (POC) will drive the successful implementation and execution of all facets of CDM on the RIG-360 contract. Primary responsibilities ...
The Configuration and Data Management (CDM) Point of Contact (POC) will drive the successful implementation and execution of all facets of CDM on the RIG-360 contract. Primary responsibilities ...
The Configuration and Data Management (CDM) Point of Contact (POC) will drive the successful implementation and execution of all facets of CDM on the RIG-360 contract. Primary responsibilities ...
The Configuration and Data Management (CDM) Point of Contact (POC) will drive the successful implementation and execution of all facets of CDM on the RIG-360 contract. Primary responsibilities ...
Working knowledge of enterprise systems such as Facets. * Advanced knowledge of health plan configuration, including healthcare services, medical management, population health management, and ...
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Working knowledge of enterprise systems such as Facets. * Advanced knowledge of health plan configuration, including healthcare services, medical management, population health management, and ...
Apply Early
Fort George G Meade, MD · On-site
$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 ...
Fort George G Meade, MD · On-site
$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 ...
Richmond, VA · On-site +1
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 ...
Richmond, VA · On-site +1
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 ...
$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 ...
$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 ...
$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 ...
$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 ...
$37.5K - $47.2K
3% of jobs
$47.2K - $57K
2% of jobs
$57K - $66.7K
7% of jobs
$66.7K - $76.4K
12% of jobs
$76.8K is the 25th percentile. Wages below this are outliers.
$76.4K - $86.1K
14% of jobs
The median wage is $93.3K / yr.
$86.1K - $95.9K
16% of jobs
$95.9K - $105.6K
17% of jobs
$109K is the 75th percentile. Wages above this are outliers.
$105.6K - $115.3K
11% of jobs
$115.3K - $125K
5% of jobs
$125K - $134.8K
5% of jobs
$134.8K - $144.5K
7% of jobs
$37.5K
$95.9K
$144.5K
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.
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.
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.

Contractor
Posted 28 days ago
Be an early applicant
Role: Sr. Configuration Analyst
Location: Hybrid – 2x a week onsite – Mason, Ohio
Duration: 12months
Visa: GC, USC
Interview: Video
***MUST BE LOCAL TO MASON, OH **
Job Description:
Must have: This role is about 60% configuration 40% attending cross functional meetings and capture requirements.
Able to lead/represent cross functional meetings (this is one of the major skill set that we look for).
Require high level roles to build, troubleshoot, and prototype Medicaid products. Capture business requirements with clients, testing execution, and troubleshooting for multiple Medicaid program implementations.
Top 3-5 mandatory and/or minimum requirements:
• SQL
• SQL/Database experience.
• Healthcare claim understanding/benefit configuration.
• Facets
• Informatica
• Analytical & problem-solving skill Operating System: Windows Applications: Facets Automation tools:
• Testing tools: Oracle SQL for data validation and Facets for claims testing.
Top 3-5 desirable attributes/qualifications?
• 5+ years’ experience w/:
o Facets platform
o Medical Plan Benefit Configuration
o Provider Network & Agreement Configuration
o Understanding for Medicare/Medicaid.
o SQL and Database experience
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SMART-iPLACE provides innovative staffing and consulting solutions that help our clients achieve their business objectives. We can understand and support all areas of your IT systems from back-end infrastructure to front-end personal productivity. Our goal is create innovative IT solutions that enable your business to be more agile and competitive.
It services
51 - 200 Employees
Irving, TX, US
2021