Job Summary
Lead the Facets configuration and maintenance of most complex and highly critical system tables and data elements across multiple system environments.
Lead the analysis, development and implementation of configuration changes to improve system performance and user efficiency.
Coordinate and monitor configuration for accuracy and compliance to change control processes.
Own the end to end delivery of projects assigned to - this involves requirement documentation, design completion, Facets build delivery and test support.
Provide significant business acumen (breadth and depth) and global technical expertise in critical systems/applications to support proactive Facets configuration solutioning for highly complex and varied business issues, while considering broader impacts of technical decisions to the current and future state business environment.
Act as domain SME for IT projects to help map their data needs to Facets configuration applications.
Act as configuration SME to triage any Facets integration solutions developed by IT partners.
Lead the review, analysis and development of solutions for highly critical business systems, which may have impacts across multiple business areas or systems/applications.
Review the test scenarios, give feedback to testers; review claims test results; sometimes perform shadow testing to ensure complex configuration solution is working as we expect.
Leads work groups in assessment of business issues and facilitates the resolution of most complex or broad system/application problems by: Coordinating initial triage for severity and business impact of system/application failures.
Leading the troubleshooting and analysis necessary to determine root cause of issues.
Coordinating the development of applicable business processes and solutions, to ensure quality, cost effectiveness, timeliness of customer service, and regulatory requirements and mandates are met.
End to end issue resolution support, like claims remediation support, impact analysis, process updates etc.
Location: Telecommute
Job Type: Contract
Salary: $65 - 67 per hour
Work Hours: 9am to 5pm
Education: Bachelors
Responsibilities
Facets Product Configuration Analyst Duration: Mid-September 2026 - December 2027 A. Document detailed Facets product configuration requirements (BCRs), including benefit codes, exceptions, provider tiering, and benefit administration rules.
B. Develop detailed configuration design documents that translate business requirements into Facets system setup specifications.
C. Create and maintain requirements-to-test traceability to ensure all requirements are fully validated through testing.
Facets Workflow Configuration Analyst Duration: January/February 2027 - January 2028 A. Partner with Claims, UM, Care Management, and Service teams to gather detailed requirements for claims routing, exception handling, and manual review processes.
B. Develop detailed Facets workflow design documents, build configurations, and support claims and service testing activities.
Qualifications
7+ years Facets configuration
Facets tool with deep understanding of Medical Product configuration Group/member enrollment, provider network config and claims.
Good understanding of Facets data Model.
Microsoft SQL.
MS Excel
Skills
business systems
integration solutions
IT projects
business acumen
Coordinate
Coordinating
Issue Resolution
proactive
business impact
Business Expertise
business processes
change control
development of solutions
customer service
delivery of projects
impact analysis
claims
maintenance
regulatory requirements
test scenarios
Technical Support
triage
initial triage