Senior Facets Configuration Analyst

A company is looking for a Sr. Facets Config Analyst to design and implement configuration solutions within the Facets platform for Medicaid and Medicare programs.

Key Responsibilities

Conduct requirements discovery sessions to define configuration outcomes and identify gaps

Interpret provider contracts and configure pricing requirements using the Facets NetworX module

Troubleshoot claim pend issues through configuration adjustments and lead configuration efforts for new implementations

Required Qualifications

Minimum 7 years of hands-on experience configuring the Facets system

Proven ability to configure and maintain Group, Class, Plan, Product, Provider Contracts, and Pricing

Strong experience with backend SQL queries for configuration validation

Familiarity with Medicaid and Medicare lines of business

Ability to analyze and implement configuration solutions to improve claims auto-adjudication rates