Senior Product Specialist

Job Summary

To enhance healthcare payer operations, the full-time remote Senior Product Specialist will design, configure, and optimize Facets capabilities across Finance, Billing, Claims, and Premium Billing domains, collaborating with stakeholders to implement scalable solutions that improve operational efficiency and data integrity.

Key responsibilities

• Lead the configuration and optimization of Facets Finance and Premium Billing modules for accurate premium calculations and financial reconciliation
• Manage end-to-end Facets claims workflows to ensure 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 in 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