Facets Configuration Analyst

Job Summary

Working remotely in a full-time capacity, the Facets Configuration Analyst will design, configure, test, implement, and maintain the Facets core claims processing system while collaborating with business stakeholders and IT partners to ensure effective system solutions for health plan administration and claims processing.

Key Responsibilities

• Configure and maintain Facets modules including benefits, providers, products, contracts, pricing, claims, and eligibility
• Analyze business requirements and translate them into detailed configuration specifications
• Develop and execute test plans, test scenarios, and validation activities to ensure system accuracy and compliance

Required Qualifications

• Bachelor's degree in Information Technology, Healthcare Administration, Business, or related field; equivalent experience may be considered
• 3+ years of experience working with the TriZetto Facets platform
• Experience configuring one or more Facets modules including benefits, claims, provider, products, eligibility, and pricing
• Knowledge of healthcare payer operations and claims processing
• Experience gathering and analyzing business requirements