Senior Facets Configuration Analyst

Job Summary

A company is looking for a Sr. Facets Config Analyst to design and implement configuration solutions within the Facets platform for Medicaid and Medicare programs.

Key Responsibilities

• Conduct requirements discovery sessions to define configuration outcomes and identify gaps
• Interpret provider contracts and configure pricing requirements using the Facets NetworX module
• Troubleshoot claim pend issues through configuration adjustments and lead configuration efforts for new implementations

Required Qualifications

• Minimum 7 years of hands-on experience configuring the Facets system
• Proven ability to configure and maintain Group, Class, Plan, Product, Provider Contracts, and Pricing
• Strong experience with backend SQL queries for configuration validation
• Familiarity with Medicaid and Medicare lines of business
• Ability to analyze and implement configuration solutions to improve claims auto-adjudication rates