Senior Manager Product Consulting

Compunnel, Inc.; Bridgewater Township (NJ); On-site; USD 90,000 - 130,000; Full time

Job summary

Compunnel, Inc. is seeking an experienced Facets consultant to lead implementations and advise on enrollment, billing, claims, and COB. The role requires deep product knowledge and the ability to conduct requirements discovery and design sessions with clients, while guiding architecture and configuration decisions.

The remote role involves managing mid- to large-sized projects, coordinating with onshore/offshore teams, and driving auto-adjudication improvements to align with client objectives.

Qualifications

• Proven track in implementations of Facets product.
• 5-10 years Facets consulting experience.
• 5-10 years of industry knowledge including MediCal/Medicaid, Commercial, Medicare.
• Strong communication and client-facing consulting skills.
• Experience with claims, UM, and COB processes.

Responsibilities

• Lead design sessions to determine how best to design and configure Facets applications.
• Understand business and technical requirements; consult customers to design solution architecture.
• Manage mid- to large-sized projects (product updates, application maintenance).
• Provide recommendations on implementation, architecture, gap analysis, customization and integration.
• Create the solution architecture; present benefits; lead Proof of Concept for business problems.
• Transfer Facets knowledge to client staff; liaison with onshore/offshore resources.
• Articulate issues clearly and provide alternative solutions.

Skills

Facets product knowledge

Enrollment knowledge

Billing knowledge

Membership knowledge

Accounting knowledge

Ability to lead business discussions

Client-facing communication

Lead SME for core applications

Configuration and design sessions

Requirements discovery

Tools

Facets

Job description

1.Facets product knowledge on enrollment, group class plan, billing, membership, accounting (resource 1) and for resource #2 need to have claims, UM, and COB

2.Ability to lead business discussions

3.Excellent communication skills across all levels of the project team, including client and internal teams

Description:

Proven track in implementations of Facets product

5-10 years Facets consulting experience

5-10 years of industry knowledge including all LOB (e.g., MediCal/Medicaid, Commercial, Medicare)

Remote Serve as a Consulting team lead and Subject Matter Expert (SME) for core applications and sub-modules. The SME shall provide the client with advisory knowledge of configuration structure and provide leadership in implementing or optimizing configuration solutions to increase auto-adjudication rate and/or implement new lines of business. The SME resource should also provide concrete project plan tasks to bring the current FACETS configuration architecture to an optimize future state, including best practice configuration, assessment of sub-modules not currently leveraged, and provide measurable metrics on configuration approaches. More specifically, possess the following additional characteristics: The Facets Design Specialist will conduct requirements discovery sessions and lead design sessions to determine how best to design and configure applications within Facets to meet the defined requirements.

Understand business and technical requirements, consult customers to design and recommend solution architecture, manage mid and large-sized projects of the following nature( Product updates, Application Maintenance, etc., guide product specialists to ensure complete coverage of client’s requirements and product quality within the client and project specifications

The role requires excellent general consulting and Facets application skills to work with the client technical team to understand: the technical and functional ecosystem; analyze customer requirements; challenges from an IT and business process perspective by interacting with the customer architects / SMEs, and reviewing documentation.

Provide recommendations (e.g., product implementation, platform identification, architecture suitability, gap analysis, customization/bolt-on development and integration, product maintenance) to address the same;

Create the solution architecture; Present the benefits of the solution; Lead Proof of Concept for the business problem; Provide inputs on technical robustness and scalability of the product to the LPC.

Experience should include a strong understanding of core functionality, emphasizing Benefits, Providers, Enrollment, and Claims. Experience with claims root cause analysis, benefits cost shares, PCA, and Workflow to solve UM, COB, Provider, and member match issues is preferred.

Ability to provide advanced analysis, problem-solving, and interpret application configuration.

Good knowledge of Facets data models.

Must be able to liaison effectively with business and technical groups and transfer Facets application knowledge to customer staff.

Clearly articulate (both verbal and written) issues and provide alternative solutions.

Excellent in working with onshore/offshore resource models.