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Facets Configuration Analyst

Posted 4 months ago
Worldwide
5-10 years experience
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AI Summary

The analyst is responsible for configuring and maintaining Facets platform rules, benefits, and parameters. These tasks support operational requirements and claims adjudication.

This is a remote position.

The Facets Configuration Analyst will be responsible for configuring and maintaining Facets platform rules, benefits, and parameters that support claims adjudication and operational requirements

Requirements

Minimum 5 years of Facets configuration experience
● Minimum 3 years of experience supporting CMS-related products, including Medicare Advantage (MA) and/or Medicaid
● Strong verbal and written communication skills
● Proficiency in at least three (3) Facets modules, with one being:
○ Facets Medical Plan
● Experience working on Facets version 25.1 or later
● Strong understanding of healthcare payer operations and claims configuration

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