Facets Configuration Specialist

2 days ago


Des Plaines, Illinois, United States IT Associates, Inc. Full time
Job Title: Facets Configuration Analyst

Our client, IT Associates, Inc., is seeking a skilled Facets Configuration Analyst to join their team. As a key member of the organization, this individual will be responsible for conducting thorough assessments and analysis of the client's benefit requirements, current configuration, and making recommendations for improvements.

Key Responsibilities:
  • Maintain and audit configuration against plan requirements to ensure seamless operations.
  • 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.
  • Critical thinking and problem-solving skills are essential for this role.
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).

The ideal candidate will possess excellent communication and analytical skills, with the ability to work effectively in a team environment. If you are a motivated and detail-oriented individual with a passion for configuration analysis, we encourage you to apply for this exciting opportunity.



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