Facets Configuration Analyst

Job Summary

A company is looking for a Facets Configuration Analyst, responsible for configuring and optimizing Facets components to support provider reimbursement and claims processing.

Key Responsibilities

• Configure and maintain provider reimbursement, benefit packages, and pricing rules
• Analyze business requirements and perform data mining to enhance claims processing
• Troubleshoot claim issues and validate configuration accuracy using SQL queries

Required Qualifications

• Minimum of 2+ years of hands-on Facets configuration experience
• Ability to create and maintain various configuration elements such as Group, Class, and Plan
• Experience with backend analysis using SQL for claims processing validation
• Working knowledge of Medicaid and Medicare program requirements
• Experience troubleshooting configuration-related claim issues