TELECOMMUTE Facets Provider Configuration Analyst

We are seeking an experienced Facets Provider Configuration Analyst with strong expertise in Facets Provider Configuration and the U.S. healthcare payer domain. The candidate will be responsible for configuring and maintaining provider data, provider contracts, and provider networks within the Facets platform while supporting claims processing and production issues.

Responsibilities

• Configure and maintain provider records, contracts, and networks in Facets.
• Support provider-related configuration changes and production issues.
• Analyze business requirements and implement configuration solutions.
• Validate configuration through testing and ensure accurate claims adjudication.
• Collaborate with business, QA, and development teams for successful implementations.

• Experience with Facets Provider Configuration
• Strong hands-on experience with Facets Provider Module
• Experience with NetworX Configuration
• Provider Contract Configuration
• Provider Network Configuration
• Healthcare Payer domain experience (Commercial, Medicare, or Medicaid)
• Knowledge of Claims Processing and Claims Adjudication
• Experience with SQL for data validation
• Strong analytical and troubleshooting skills