Optum CES Configuration Specialist

Job Summary

A company is looking for an Optum CES Configuration SME.

Key Responsibilities:

• Lead and execute Optum CES implementations, ensuring seamless integration with Facets
• Configure and optimize Facets to support claims processing and business requirements
• Analyze, design, and implement claims editing rules and configurations within Optum CES

Required Qualifications:

• 5+ years of experience with Facets
• 5+ years of experience with Optum CES (Optum Claims Edit System)
• Strong understanding of claims processing and adjudication in a healthcare payer environment
• Experience working with or for Optum is highly preferred
• Ability to analyze and configure system rules to meet business requirements