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Senior Facets Product Consultant (Healthcare Payer)

ICONMA

Role overview

Qualifications

  • 9+ years of Healthcare Payer consulting experience
  • 5–10 years of FACETS implementation/configuration experience
  • Proven experience leading client-facing consulting engagements and product implementations
  • Strong understanding of core functionality in Benefits, Providers, Enrollment, and Claims

Responsibilities

  • Serve as a Consulting team lead and Subject Matter Expert for core applications and sub-modules
  • Provide advisory knowledge of configuration structure and leadership in optimizing configuration solutions
  • Conduct requirements discovery sessions and lead design sessions to configure applications within Facets
  • Provide recommendations on product implementation, architecture suitability, and gap analysis

About the company

ICONMA logo

ICONMA

Management Consulting

We provide Professional Staffing Services & Project-Based Solutions for a broad range of Fortune 500 organizations. ICONMA is a certified Woman-Owned staffing company and was founded in 2000. ICONMA’s corporate headquarters is in Troy, Michigan, and has 15+ locations worldwide. What makes ICONMA stand out in a fiercely competitive industry? *We provide integrated, full lifecycle services across a broad range of business and technical platforms. *No single company can duplicate our full range of staffing and permanent recruiting services nationwide. *Proven track record of attracting and retaining exceedingly skilled professional workers in a highly competitive market. SERVICES OFFERED Staff Augmentation (Contract, Contract to Hire, Direct Hire, Single Source) Data Analysis Project-Based Services & Solutions Hire Train Deploy Service Model Offshore Staff Augmentation Payroll Services AREAS OF EXPERTISE - Information Technology - Engineering - Business Professional - Accounting/Finance - Admin/Clerical/Call Center - Healthcare/Clinical/Scientific - Marketing/Creative mail linkedin@iconma.com Phone (888) 451-2519 Website http://www.iconma.com

Company details

Company typeLarge
IndustryManagement Consulting
Company size1001 - 5000

Links

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Job description

Our client, a IT Services and Consulting company, is looking for a Senior Facets Product Consultant (Healthcare Payer) for their Remote location.
 
Responsibilities:
  • 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.
 
Requirements:
  • 9+ years of Healthcare Payer consulting experience
  • 5–10 years of FACETS implementation/configuration experience
  • Proven experience leading client-facing consulting engagements and product implementations
Domain Background
Preferred candidates from:
  • Health Insurance / Healthcare Payers
  • Managed Care Organizations (MCOs)
  • Healthcare IT Consulting
  • FACETS Consulting Partners
  • 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.
  • Facets product knowledge on enrollment, group class plan, billing, membership, accounting (resource 1) and for resource 2 need to have claims, UM, and COB
  • Ability to lead business discussions
  • Excellent communication skills across all levels of the project team, including client and internal teams
  • 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)
  • Years of Experience:   9.00 Years of Experience
Skills: 
  • Category          Name                                       Required          Importance       Experience
  • Facets              Facets - Billing                         Yes                  1                     
  • Facets              Facets - Membership                Yes                  1
 
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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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