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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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