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iScale Solutions

Facets Configuration Analyst

Posted 3 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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