Job Summary
A company is looking for a Facets System Analyst to configure and maintain various FACETS modules and support new product implementations.
Key Responsibilities:
- Configure and maintain FACETS modules, including benefits, provider contracts, and pricing using NetworX
- Implement changes to support new products and agreements while ensuring compliance with business needs and regulatory standards
- Conduct data analysis using SQL and collaborate with QA teams for testing and documentation of configuration changes
Required Qualifications:
- Strong healthcare domain knowledge and understanding of healthcare claims processing and regulations
- Expertise in FACETS configuration, particularly in benefits, provider pricing, and workflow
- Proficiency in SQL and familiarity with Core FACETS batch jobs and EDI transactions
- Experience in Member Enrollment, Claims Processing, and Stars Measures
- For Senior Associate: Experience leading and mentoring others
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