The Clinical Systems Configuration Architect is responsible for all architectural disciplines ... TriZetto/Cognizant Facets applications experience is preferred. * Implementing LTSS functionality ...
The Clinical Systems Configuration Architect is responsible for all architectural disciplines ... TriZetto/Cognizant Facets applications experience is preferred. * Implementing LTSS functionality ...
... facets configuration, partial search, thesaurus configuration, stop words removal, etc. • Should have a good understanding of Coveo OOTB analytics reports and dashboards and custom dimension ...
... facets configuration, partial search, thesaurus configuration, stop words removal, etc. • Should have a good understanding of Coveo OOTB analytics reports and dashboards and custom dimension ...
This position focuses on learning and applying provider configuration principles in Facets or similar systems. This is a FT WFH position. Pay Range $23.34 - $26.26 hourly (depending on experience)
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This position focuses on learning and applying provider configuration principles in Facets or similar systems. This is a FT WFH position. Pay Range $23.34 - $26.26 hourly (depending on experience)
Facets Integration Software Engineer #1822
Des Moines, IA · Hybrid
$101K - $136K/yr
Wellmark, Inc. seeks a Facets Integration Software Engineer based out of our office at 1331 Grand ... Experience must include: 36 months of experience in software development and configuration required ...
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Facets Integration Software Engineer #1822
Des Moines, IA · Hybrid
$101K - $136K/yr
Wellmark, Inc. seeks a Facets Integration Software Engineer based out of our office at 1331 Grand ... Experience must include: 36 months of experience in software development and configuration required ...
Facets Integration Software Engineer #1822
Des Moines, IA · On-site
$21/hr
Wellmark, Inc. seeks a Facets Integration Software Engineer based out of our office at 1331 Grand ... Experience must include: 36 months of experience in software development and configuration required ...
Facets Integration Software Engineer #1822
Des Moines, IA · On-site
$21/hr
Wellmark, Inc. seeks a Facets Integration Software Engineer based out of our office at 1331 Grand ... Experience must include: 36 months of experience in software development and configuration required ...
Systems Engineer Sr. - Configuration Management
Grand Prairie, TX · On-site
$89K - $157K/yr
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 ...
Systems Engineer Sr. - Configuration Management
Grand Prairie, TX · On-site
$89K - $157K/yr
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 ...
Facets Integration Software Engineer #1822
Des Moines, IA · Hybrid
$101K - $136K/yr
Wellmark, Inc. seeks a Facets Integration Software Engineer based out of our office at 1331 Grand ... Experience must include: 36 months of experience in software development and configuration required ...
Facets Integration Software Engineer #1822
Des Moines, IA · Hybrid
$101K - $136K/yr
Wellmark, Inc. seeks a Facets Integration Software Engineer based out of our office at 1331 Grand ... Experience must include: 36 months of experience in software development and configuration required ...
Team Lead, Configuration Testing (SDET/Facets/AI/RPA background preferred)
Dayton, OH · On-site
$83K - $132K/yr
The Team Lead, Configuration Testing is responsible for day-to-day activities surrounding the ... Exposure to Facets or equivalent system is preferred * Prior supervisory experience is preferred ...
Team Lead, Configuration Testing (SDET/Facets/AI/RPA background preferred)
Dayton, OH · On-site
$83K - $132K/yr
The Team Lead, Configuration Testing is responsible for day-to-day activities surrounding the ... Exposure to Facets or equivalent system is preferred * Prior supervisory experience is preferred ...
Team Lead, Configuration Testing (SDET/Facets/AI/RPA background preferred)
Dayton, OH · On-site +1
$83K - $132K/yr
The Team Lead, Configuration Testing is responsible for day-to-day activities surrounding the ... Exposure to Facets or equivalent system is preferred * Prior supervisory experience is preferred ...
Team Lead, Configuration Testing (SDET/Facets/AI/RPA background preferred)
Dayton, OH · On-site +1
$83K - $132K/yr
The Team Lead, Configuration Testing is responsible for day-to-day activities surrounding the ... Exposure to Facets or equivalent system is preferred * Prior supervisory experience is preferred ...
Ensures that the integrity of the information is uploaded to Salesforce correctly as this detail has a direct correlation to benefit set-up, Facets configuration, contract language etc. The Account ...
Ensures that the integrity of the information is uploaded to Salesforce correctly as this detail has a direct correlation to benefit set-up, Facets configuration, contract language etc. The Account ...
Data Analyst Associate (Facets And Salesforce)
Columbia, MD · On-site
$44 - $49/hr
Partner with senior team members on the design, configuration, and implementation of data ... Experience with healthcare or enterprise systems such as Facets or Salesforce preferred. Skills:
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Data Analyst Associate (Facets And Salesforce)
Columbia, MD · On-site
$44 - $49/hr
Partner with senior team members on the design, configuration, and implementation of data ... Experience with healthcare or enterprise systems such as Facets or Salesforce preferred. Skills:
Ensure configuration integrity and accuracy through comprehensive quality assurance processes ... Mandatory proficiency in enterprise benefit platforms (e.g., Facets, QNXT, HealthRules, or similar ...
Ensure configuration integrity and accuracy through comprehensive quality assurance processes ... Mandatory proficiency in enterprise benefit platforms (e.g., Facets, QNXT, HealthRules, or similar ...
... Auth configuration within FACETS. * Familiarity with UM workflows, clinical guidelines, and state mandates. * Experience working with clinical/utilization management stakeholders. * Deep ...
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... Auth configuration within FACETS. * Familiarity with UM workflows, clinical guidelines, and state mandates. * Experience working with clinical/utilization management stakeholders. * Deep ...
Facets System Analyst Max Bill rate - **** USE THIS VS RATE CARD Remote No Covid Vaccine ... product configuration setup WITH THE OBJECTIVE of ensuring complete coverage of clients ...
Facets System Analyst Max Bill rate - **** USE THIS VS RATE CARD Remote No Covid Vaccine ... product configuration setup WITH THE OBJECTIVE of ensuring complete coverage of clients ...
Mandatory skills • FACETS UM/Pre-Auth Configuration • ITS/Authorization Routing Logic • SQL & Rule Traceability Responsibilities: - 7 - 10 years in UM/Pre-Auth configuration within FACETS. • ...
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Mandatory skills • FACETS UM/Pre-Auth Configuration • ITS/Authorization Routing Logic • SQL & Rule Traceability Responsibilities: - 7 - 10 years in UM/Pre-Auth configuration within FACETS. • ...
Mandatory skills • FACETS UM/Pre-Auth Configuration • ITS/Authorization Routing Logic • SQL & Rule Traceability Responsibilities: - 7 - 10 years in UM/Pre-Auth configuration within FACETS. • ...
Quick apply
Mandatory skills • FACETS UM/Pre-Auth Configuration • ITS/Authorization Routing Logic • SQL & Rule Traceability Responsibilities: - 7 - 10 years in UM/Pre-Auth configuration within FACETS. • ...
Benefit Config Analyst I
Portland, OR · On-site
Ability to correctly interpret contracts, coupled with state and federal laws and limitations, and to convert into Facets benefit configuration. * Ability to plan, organize and prioritize task ...
New
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Benefit Config Analyst I
Portland, OR · On-site
Ability to correctly interpret contracts, coupled with state and federal laws and limitations, and to convert into Facets benefit configuration. * Ability to plan, organize and prioritize task ...
New
Ability to provide advanced analysis, problem-solving, and interpret application configuration. * Good knowledge of Facets data structures. * Must be able to liaison effectively with business and ...
Ability to provide advanced analysis, problem-solving, and interpret application configuration. * Good knowledge of Facets data structures. * Must be able to liaison effectively with business and ...
Business Associate
Columbia, TN · On-site
Expert in requirement gathering and Design solutions for Cognizant/Trizetto Facets Expert in 837 to ... configuration Hours : 8:00am to 5:00pm Education : Additional Job Details
Business Associate
Columbia, TN · On-site
Expert in requirement gathering and Design solutions for Cognizant/Trizetto Facets Expert in 837 to ... configuration Hours : 8:00am to 5:00pm Education : Additional Job Details
Manual Testing
Albany, NY · On-site
1) QA Testing- 5+ years experience in QA testing (mostly manual experience) 2) Facets- 5+ years experience in hands-on configuration and testing of the facets claims system, must have an in-depth ...
Manual Testing
Albany, NY · On-site
1) QA Testing- 5+ years experience in QA testing (mostly manual experience) 2) Facets- 5+ years experience in hands-on configuration and testing of the facets claims system, must have an in-depth ...
Facets Configuration information
See salary details
$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
How much do facets configuration jobs pay per year?
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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CareSource rating
7.7
Based on 27 frontline employees who took The Breakroom Quiz
177th of 261 rated insurance
Job description
Job Summary:
The Clinical Systems Configuration Architect is responsible for all architectural disciplines, decision making, drive communication, and collaboration for the enterprise. This role is also responsible for building and maintaining technology strategy for Operationalizing clinical system configuration at CareSource in accordance with evolving business needs in addition to defining ways of working, inclusive of technology standards and guidelines, etc.
What Configuration Architect should have:
Healthcare domain clinical systems experience with in depth configuration knowledge in Health Edge/Guiding Care application suite.
Essential Functions:
- Accountable for creating and maintaining the architecture disciplines that will guide the organization's technology decisions. This includes developing a comprehensive understanding of the organization's existing technological environment, identifying areas for improvement, and creating a roadmap for future technological initiatives.
- Define and communicate clinical systems implementation standards, best practices, and guidelines.
- Maintain a high level of expertise to guide leaders at CareSource.
- Work closely with business leaders, technology teams, and other stakeholders to understand their needs and ensure that solutions align with business goals and objectives.
- Maintain familiarity with a wide range of solutions and approaches clinical systems operationalization and be able to evaluate their suitability for the organization. Must be able to recommend appropriate solutions that meet business needs and align with the overall Health Edge Systems Configuration strategy.
- Develop policies, standards and guidelines that direct the selection, development, implementation, and use of platforms within the enterprise.
- Provide guidance, training, and mentorship to other team members in Configuration and leaders throughout our department.
- Maintain a current understanding of modern practices and Software's.
- Establish and maintain professional working relationships between the teams and their customers and constituents.
- Act as a liaison between corporate business areas and collaborate with appropriate business areas to implement proposed solutions and manage programs to evaluate effectiveness and results.
- Troubleshoot existing clinical configuration to identify errors or deficiencies and develop innovative solutions.
- Research, review, recommend, communicate, and implement solutions which identify problems/root cause of issues.
- Evaluate existing Health Edge systems setup/solutions & applications and provide recommendations for improving the application by performing gap analysis and identifying feasible alternative solutions.
- Provide technical support in analyzing content of clinical configuration in GC application patches, upgrades, and fixes to the production applications.
- Develop prototypes and options for new system capabilities and work with leadership and business to identify value and opportunities to improve business capabilities.
- Lead teams in obtaining and analyzing functional and system requirements for complex corporate initiatives and provide expert system consultation, analysis, and recommendations to ensure the development solutions support the business needs.
- Oversee Health Edge/Guiding Care systems configuration activities performed by other team members, ensuring alignment to the project's goals, budget and delivery schedule.
- Work under limited supervision with considerable latitude for initiative and independent judgment.
- Perform any other job duties as requested.
Education and Experience:
- Bachelor of Science degree in information technology, business intelligence or related field, or equivalent years of relevant work experience is required.
- Minimum of seven (7) years of Health Edge/Guiding Care experience in advanced clinical systems configuration, system/business solution analysis and development are required.
- Minimum of five (5) years of health care domain experience is required.
- Minimum of two (2) years of experience in project management/leadership role is preferred.
- TriZetto/Cognizant Facets applications experience is preferred.
- Implementing LTSS functionality in Health Edge/Guiding Care platform is preferred
Competencies, Knowledge, and Skills:
- Strong interpersonal skills include excellent written and verbal communication skills; listening and critical thinking; presentation and facilitation skills.
- Ability to establish effective working relationships with stake holds at all different levels within operations organization.
- Expert knowledge in Health Edge/Guiding Care applications required.
- Expert knowledge of Health Edge/Guiding Care data models, APIs, Real Time integration and proven understanding of database relationships required.
- Ability to facilitate and lead Health Edge/Guiding Care solution design architectures.
- Knowledge in creating and maintaining road maps for clinical systems functional area.
- Solid understanding of Managed Care Organization business workflow Excellent communication, presentation, and written skills
- Advanced computer skills with Microsoft Word, Excel, Access, Visio, and Facets applications
- Knowledge of Business Intelligence tools and methodologies
- Excellent understanding of industry standards and technology trends
- Strong analytical, decision making, and problem-solving skills.
- Ability to develop, prioritize and accomplish goals.
- Ability to work independently and within a team environment.
Licensure and Certification:
- None
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time.
- There may be minimal travel to attend vendor product conferences and QBRs
Compensation Range:
$94,100.00 - $164,800.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type:
Salary
Competencies:
- Fostering a Collaborative Workplace Culture
- Cultivate Partnerships
- Develop Self and Others
- Drive Execution
- Influence Others
- Pursue Personal Excellence
- Understand the Business
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
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About CareSource
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Dayton, OH, US
Year founded
1989