Senior Product Specialist
Job Summary
To support healthcare payer operations, the full-time Senior Product Specialist will design, configure, and optimize Facets capabilities in Finance and Premium Billing, while collaborating with stakeholders in a hybrid work environment.
Key responsibilities
- Lead the configuration and optimization of Facets Finance and Premium Billing modules to ensure accurate premium calculations and financial reconciliation
- Manage end-to-end Facets claims workflows, ensuring accurate adjudication and timely resolution of processing exceptions
- Analyze premium billing processes and Facets data models to identify defects and opportunities for operational improvement
Required qualifications
- 6 to 10 years of experience with Facets Finance, Billing, and Premium Billing functions within healthcare payer organizations
- Strong hands-on expertise with Facets Claims, Provider, Membership, Group, and Plan Product modules
- Deep knowledge of healthcare payer premium billing processes, including rating structures and payment applications
- Experience gathering business requirements and translating them into configuration designs and testing scenarios
- Proven ability to analyze complex datasets and support operational reporting
Complete Job Description
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