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Jobs or company...

Facets Configuration Analyst

  • Full Time, onsite
  • IT Associates, Inc.
  • HybridTwo days onsite a week, United States of America
Salary undisclosed

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Dice
Original
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Our client is looking to add a Facets Configuration Analyst that will be responsible for conducting thorough assessments and analysis of the clients benefit requirements, current configuration and make recommendations for improvements.

Duties & Responsibilities

  • Maintain and Audit Configuration against plan requirements.
  • Research claims issues to troubleshoot configuration gaps and update configuration accordingly.
  • Create and document re-usable test plans; mockup and execute test cases and provide test case results in clear and concise manner.
  • Create/Maintain an online documentation repository for Facets configuration, as directed.
  • Ability to make configuration recommendations on best practices to align with future business opportunities.
  • Ability to train junior analysts on configuration tasks/duties as assigned.
  • Collaborate with key stakeholder departments to find synergy and close process gaps. For example find a better way for configuration team and say the medical policy team to work together to clarify policies and how best they can be operationalized.
  • Strong communication skills
  • Ability to articulate/document the pros/cons when critical business/configuration decisions are required.
  • Critical thinker

Background & Qualifications

  • 4+ years hands-on Facets Benefit Configuration (SERL, SEPC, SEPY etc) experience, versions 5.9 or higher (Required), 6.1 R2 (Preferred)
  • Working experience creating supplemental service ID s, specifically around ICD-10 codes and POS (Required)
  • Intermediate understanding of WMUD, WMWM and PCAC/PCAG configuration (Required)
  • Working familiarity with BSBS (Preferred)
  • Working familiarity with CLUM/CLMR (Preferred)
  • 4+ years experience SQL/SSRS/Reporting skills working with Facets data models (Required)
  • Working knowledge of ASO clients (Preferred)

Education and Certifications (R-Required, P-Preferred)

  • R 3+ years of experience working with healthcare specific data
  • R BS in Mathematics, Computer Science, Information Management, Statistics, or a Related Technical Field
  • P MS in Mathematics, Computer Science, Information Management, Statistics, or a Related Technical Field
  • P Training Courses: Facets Product Foundation
  • P Certifications: TriZetto Facets Associate or Professional
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
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