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FACETS System Analyst

6/12/2025

No location specified

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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