Facets Product Configuration Analyst

Consulting Solutions; United States; On-site; USD 120,000 - 160,000; Full time

Job summary

Consulting Solutions is seeking a Senior Facets Configuration Engineer to lead the configuration and maintenance of Facets across environments. You will document requirements, translate business needs into setup specifications, and drive performance improvements while ensuring change control compliance.

The role demands deep knowledge of medical product configuration, enrollment, provider networks, and claims, with strong SQL and Excel skills to support data analysis and reporting.

Qualifications

• Extensive experience configuring Facets for medical product setups, enrollment, provider networks, and claims.

Responsibilities

• Lead Facets configuration and maintenance of complex system tables across environments.
• Document configuration requirements (BCRs), including codes, exceptions, and rules.
• Develop design documents translating business needs into Facets setup specifications.
• Lead changes to improve performance and efficiency in configuration.
• Coordinate configuration accuracy and change control processes.
• Own end-to-end delivery of projects: requirements, design, build, testing and deployment.
• Provide business expertise to map data needs to Facets configurations.
• Act as SME for IT integrations and triage Facets solutions.
• Review test scenarios and claims results; assist with shadow testing when needed.
• Lead issue resolution and cross-functional problem-solving across business areas.

Skills

Facets knowledge

Medical product config

Group enrollment

Provider network config

Claims knowledge

Tools

Microsoft SQL

MS Excel

Job description

Must have Facets tool knowledge with deep understanding of Medical Product config, Group/member enrollment, Provider network config and claims

System Configuration

• Lead the Facets configuration and maintenance of most complex and highly critical system tables and data elements across multiple system environments
• Document detailed Facets product configuration requirements (BCRs), including benefit codes, exceptions, provider tiering, and benefit administration rules
• Develop detailed configuration design documents that translate business requirements into Facets system setup specifications
• Lead the analysis, development and implementation of configuration changes to improve system performance and user efficiency
• Coordinate and monitor configuration for accuracy and compliance to change control processes.
• Own the end to end delivery of projects assigned to - this involves requirement documentation, design completion, Facets build delivery and test support.

Technical Support/Business Expertise

• Provide significant business acumen (breadth and depth) and global technical expertise in critical systems/applications to support proactive Facets configuration solutioning for highly complex and varied business issues, while considering broader impacts of technical decisions to the current and future state business environment.
• Act as domain SME for IT projects to help map their data needs to Facets configuration applications.
• Act as configuration SME to triage any Facets integration solutions developed by IT partners
• Lead the review, analysis and development of solutions for highly critical business systems, which may have impacts across multiple business areas or systems/applications.
• Review the test scenarios, give feedback to testers; review claims test results; sometimes perform shadow testing to ensure complex configuration solution is working as we expect.
• Leads work groups in assessment of business issues and facilitates the resolution of most complex or broad system/application problems by:
• Coordinating initial triage for severity and business impact of system/application failures.
• Leading the troubleshooting and analysis necessary to determine root cause of issues.
• Coordinating the development of applicable business processes and solutions, to ensure quality, cost effectiveness, timeliness of customer service, and regulatory requirements and mandates are met.
• End to end issue resolution support, like claims remediation support, impact analysis, process updates etc.

Required skills:

• Facets tool Knowledge with deep understanding of Medical Product config, Group/member enrollment, Provider network config and claims
• Good understanding of Facets data model
• Microsoft SQL
• MS Excel

Consulting Solutions and its family of companies is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. If you are a person with a disability needing assistance with the application or at any point in the hiring process, please contact us at: [e-mail]