FACETS Configuration & Healthcare Payer Technology Specialist
We are seeking an experienced FACETS Configuration & Healthcare Payer Technology Specialist with strong hands-on experience in FACETS configuration, claims processing, enrollment, SQL, data analysis, and troubleshooting. The ideal candidate will have a strong understanding of healthcare payer systems and the ability to support business and operational requirements.
Must-Have Skills
- 8–10 years of experience in healthcare payer technology.
- Strong hands-on experience with FACETS.
- Expertise in FACETS configuration.
- Strong SQL and database querying skills.
- Hands-on experience with Claims Processing and Enrollment.
- Experience in data analysis, troubleshooting, and production support.
- Strong understanding of healthcare payer business processes.
- Ability to analyze data and resolve system and operational issues.
Key Responsibilities
- Perform FACETS configuration based on business and operational requirements.
- Support claims processing and enrollment functionality.
- Write and execute SQL queries for data analysis, validation, and troubleshooting.
- Analyze system and data issues and provide appropriate solutions.
- Support production and operational teams with FACETS-related issues.
- Collaborate with business and technical teams to understand requirements and implement solutions.
- Perform data validation and assist with root-cause analysis.
- Ensure FACETS configurations and solutions meet business requirements.
Top 3 Responsibilities
- Develop and maintain FACETS configurations supporting claims and enrollment processes.
- Use SQL and data analysis to troubleshoot issues and validate business requirements.
- Provide technical and functional support for healthcare payer systems and FACETS operations.
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