Facets Configuration Specialist

4 weeks ago


Reston, Virginia, United States IT Associates Full time

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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