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Facets Consultant Jobs (NOW HIRING)

Sonsoft Inc

Facets Consultant

El Dorado Hills, CA · On-site

... Facets which includes Membership, Provider Management, Claim Processing, Billing, Plan/Product ... No OPT-EAD & H1B Consultants please. * Please mention your Visa Status in your email or resume

Infosys

Facets Consultant

Hartford, CT · On-site

Infosys is a global leader in next-generation digital services and consulting, and they are seeking ... Required : • Manual Testing experience in QNXT / Facets Claims and Encounters. • Healthcare ...

Apex Informatics

Facets EDI Consultant

San Jose, CA · On-site

Facets EDI Consultant Location: 100% Remote Duration: 12+ Months Contract We are seeking an experienced Facets EDI Consultant to support the implementation of Facets EDI transaction processing with ...

Apex Informatics

Facets EDI Consultant

San Jose, CA · On-site

$50/hr

Role: Facets EDI Consultant Duration : 1-year contract with strong potential for extension Rate: Open Location : 100% remote Candidate Status Requirement : Only US Citizen or Green Card holders ...

Staffingine LLC

Facets Functional Lead

Seattle, WA · On-site

Act as SME for Facets system functionality and mentor junior analysts/consultants. * Drive production issue triaging, RCA, and long-term solution remediation. * Prepare process documentation ...

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Facets Consultant information

What is a Facets consultant?

A Facets Consultant is a professional who specializes in implementing, configuring, and supporting the Facets healthcare administration platform, which is widely used by health insurance companies to manage claims processing, billing, enrollment, and other core administrative functions. They typically work with clients to analyze business requirements, customize Facets modules, integrate third-party systems, and ensure regulatory compliance. Facets Consultants often have experience with SQL, healthcare EDI transactions, and project management, and they play a key role in optimizing business processes within health plan organizations.

What are some common challenges Facets consultants face when working with healthcare clients?

Facets Consultants often encounter challenges related to the complexity of healthcare data and the need to customize the Facets system to meet unique client requirements. Integrating Facets with other legacy systems and ensuring data integrity during migration are frequent hurdles. Additionally, consultants must stay updated on regulatory changes and collaborate closely with cross-functional teams, such as business analysts and IT staff, to ensure successful project delivery and compliance.

What is the difference between Facets Consultant vs Benefits Analyst?

AspectFacets ConsultantBenefits Analyst
CredentialsTypically requires health insurance software knowledge, certifications like FACETS certification, and healthcare industry experienceRequires knowledge of benefits administration, certifications like CEBS or CBP, and HR or benefits management experience
Work EnvironmentWorks mainly with healthcare insurance systems, consulting firms, or insurance companiesWorks within HR departments, insurance companies, or consulting firms focusing on employee benefits
Employer & Industry UsageCommonly employed by healthcare insurers, consulting firms, and large employersEmployed by HR departments, insurance providers, and benefits consulting firms

While both roles involve working with insurance and benefits systems, a Facets Consultant specializes in healthcare insurance software like FACETS, whereas a Benefits Analyst focuses on managing and analyzing employee benefits programs. The roles often overlap in healthcare and insurance sectors but differ in technical focus and daily responsibilities.

What are the key skills and qualifications needed to thrive as a Facets consultant?

To thrive as a Facets Consultant, you need strong expertise in healthcare payer systems, particularly with TriZetto Facets, along with knowledge of claims processing, system configuration, and healthcare regulations. Familiarity with SQL, ETL tools, and integration technologies, as well as certifications in Facets or related healthcare IT systems, are often required. Excellent problem-solving, communication, and project management skills set top consultants apart when working with clients and cross-functional teams. These competencies are essential to effectively implement, customize, and optimize Facets solutions that meet organizational and regulatory requirements.
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Facets Consultant jobs near you
Infographic showing various Facets Consultant job openings in the United States as of August 2026, with employment types broken down into 80% Full Time, and 20% Contract. Highlights an 80% In-person, and 20% Hybrid job distribution.

Facets Consultant

Sonsoft Inc

El Dorado Hills, CA • On-site

Full-time

Re-posted 13 days ago

Job description

Company Description

Sonsoft , Inc. is a USA based corporation duly organized under the laws of the Commonwealth of Georgia. Sonsoft Inc. is growing at a steady pace specializing in the fields of Software Development, Software Consultancy and Information Technology Enabled Services.

Job Description

Preferred
At least 4 years of experience in test strategy and test Design
Experience with Healthcare domain.
At least 4 years of experience in test execution analysis & reporting.
Ability to work in team in diverse/ multiple stakeholder environment
At least 4 years of experience in Core Functionalities of Facets which includes Membership, Provider Management, Claim Processing, Billing, Plan/Product, Network Pricing, Customer Service and Utilization Management Modules
Working Knowledge on different EDI files creation (834, 837, 837, 270,271,276,277 etc)
Working knowledge on the Root Cause Analysis which provokes the factors of failure thereby taking proper measure to improve identified process
Strong knowledge of the FACETS Data Model
Strong knowledge on Facets Architecture which includes Upstream and Downstream systems
Strong knowledge on different EDI transactions.
Strong technical and testing skills - Knowledge of various software testing strategies and approaches
Requires little supervision, self-starter that can work independently and collaboratively, while remaining effective at reporting status on tasks daily Analytical skills
Experience and desire to work in a Global delivery environment

Qualifications

Qualifications Basic
 Bachelor's degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of education.
At least 4 years of experience with IT

Additional Information

** U.S. citizens and those authorized to work in the U.S. are encouraged to apply. We are unable to sponsor at this time.

Note:-

  1. This is a Full-Time Permanent job opportunity for you.
  2. Only US Citizen, Green Card Holder, TN Visa, GC-EAD, H4-EAD & L2-EAD can apply.
  3. No OPT-EAD & H1B Consultants please.
  4. Please mention your Visa Status in your email or resume.
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About Sonsoft

Sourced by ZipRecruiter

Sonsoft , Inc. is a USA based corporation duly organized under the laws of the Commonwealth of Georgia. Sonsoft Inc. is growing at a steady pace specializing in the fields of Software Development, Software Consultancy and Information Technology Enabled Services.

Industry

It services

Company size

51 - 200 Employees

Headquarters location

Alpharetta, GA, US

Year founded

2007

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