Facets Configuration Analyst

Job Summary

A company is looking for a Facets Configuration Analyst to configure, maintain, and optimize Facets components for healthcare operations.

Key Responsibilities

• Configure provider reimbursement, dental benefit packages, and GCP setups while maintaining ongoing updates
• Analyze business requirements and perform data mining to automate and improve claims processing
• Troubleshoot and resolve claim pend issues, ensuring configuration accuracy through SQL validation

Required Qualifications

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