Facets Configuration Specialist
2 weeks ago
Job Summary
IT Associates is seeking a skilled Facets Configuration Analyst to join our team. As a key member of our team, you will be responsible for conducting thorough assessments and analysis of our clients' benefit requirements, current configuration, and making recommendations for improvements.
Key Responsibilities
- Maintain and audit configuration against plan requirements to ensure accuracy and compliance.
- Research claims issues to troubleshoot configuration gaps and update configuration accordingly.
- Create and document reusable test plans, mock up and execute test cases, and provide test case results in a clear and concise manner.
- Develop and maintain an online documentation repository for Facets configuration, as directed.
- Make configuration recommendations on best practices to align with future business opportunities.
- Train junior analysts on configuration tasks and duties as assigned.
- Collaborate with key stakeholder departments to find synergy and close process gaps.
- Articulate and document the pros and cons of critical business/configuration decisions.
Requirements
- 4+ years of hands-on Facets Benefit Configuration experience, versions 5.9 or higher (required), 6.1 R2 (preferred).
- Working experience creating supplemental service IDs, specifically around ICD-10 codes and POS (required).
- Intermediate understanding of WMUD, WMWM, and PCAC/PCAG configuration (required).
- Working familiarity with BSBS (preferred).
- Working familiarity with CLUM/CLMR (preferred).
- 4+ years of experience with SQL/SSRS/Reporting skills working with Facets data models (required).
- Working knowledge of ASO clients (preferred).
Education and Certifications
- 3+ years of experience working with healthcare-specific data (required).
- BS in Mathematics, Computer Science, Information Management, Statistics, or a related technical field (required).
- MS in Mathematics, Computer Science, Information Management, Statistics, or a related technical field (preferred).
- Training Courses: Facets Product Foundation (preferred).
- Certifications: Trizetto Facets Associate or Professional (preferred).
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