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Facets System Analyst - Remote

Talentify.io

United States

Remote

USD 90,000 - 109,000

Full time

3 days ago
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Job summary

A leading consulting firm in Professional Services and Technology seeks a skilled individual to configure FACETS modules. This role emphasizes healthcare knowledge alongside data analysis, ensuring compliance with regulations. Comprehensive benefits and a collaborative environment are offered, reflecting the company's commitment to innovation and inclusivity.

Benefits

Comprehensive benefits package including Medical/Dental/Vision/Life Insurance
401(k) plan with contributions and Employee Stock Purchase Plan
Paid holidays plus Paid Time Off

Qualifications

  • Strong healthcare terminology understanding.
  • Experience in FACETS configuration and pricing.
  • Proficiency in SQL and data reporting.

Responsibilities

  • Configure and maintain FACETS modules focused on benefits and provider contracts.
  • Conduct data mining and analysis for pricing and claims automation.
  • Collaborate as a subject matter expert on reimbursement policies.

Skills

Healthcare domain knowledge
FACETS configuration
SQL
Data analysis
Healthcare claims processing
Collaboration skills

Job description

Employer Industry: Professional Services and Technology Consulting

Why consider this job opportunity:
- Salary up to $109K
- Eligible for a discretionary annual incentive program based on performance
- Comprehensive benefits package including Medical/Dental/Vision/Life Insurance
- Paid holidays plus Paid Time Off
- 401(k) plan with contributions and Employee Stock Purchase Plan
- Opportunity to work in a collaborative and inclusive environment with a focus on innovation

What to Expect (Job Responsibilities):
- Configure and maintain FACETS modules, including benefits, provider contracts, and pricing structures using tools like NetworX
- Implement changes to support new products and agreements, ensuring compliance with business needs and regulatory standards
- Conduct data mining and requirement analysis to configure pricing and automate claims processing
- Serve as a subject matter expert on reimbursement policies and collaborate with vendors and enterprise teams
- Document configuration changes and work with cross-functional teams on requirements and solutions

What is Required (Qualifications):
- Strong healthcare domain knowledge, particularly in healthcare terminology
- Expertise in FACETS configuration, including benefits, provider pricing, and workflow
- Proficiency in SQL and experience with data analysis and reporting
- Knowledge of healthcare claims processing and regulations
- Ability to work independently and effective collaboration and communication skills

How to Stand Out (Preferred Qualifications):
- Experience leading and mentoring others
- Familiarity with Core FACETS batch jobs and EDI transactions (834 and 837)
- Experience in an Agile environment

#ProfessionalServices #TechnologyConsulting #Healthcare #FACETSConfiguration #RemoteWork

We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.

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