We are seeking a Facets Configuration Analyst to support a large-scale Facets migration project within the healthcare payer environment. This role will be responsible for configuring and maintaining system rules, benefit plans, and operational parameters to ensure accurate claims adjudication and efficient system performance.
Key Responsibilities:
Configure and maintain Facets system rules, benefit plans, and parameters
Support accurate claims adjudication through proper system configuration
Translate business and regulatory requirements into system configurations
Analyze and troubleshoot configuration issues, identifying root causes and implementing solutions
Collaborate with business, IT, and operational teams to support system updates and enhancements
Validate configurations through testing activities, including SIT and UAT support
Ensure compliance with CMS requirements and payer business rules
Maintain documentation related to configurations, processes, and system changes
Support data migration and system transformation activities as part of the Facets implementation
Participate in system optimization and continuous improvement efforts
Requirements
Required Qualifications:
Experience working with the Facets platform in a configuration or analyst capacity
Strong understanding of healthcare payer operations and claims adjudication
Experience configuring benefits, rules, and parameters within Facets
