Facet Configuration Analyst - Medicare Advantage/ Medicaid

Facets Configuration Analyst

Experience: Minimum 5+ Years in Facets Configuration

Domain: Healthcare Payer | Claims Configuration | Medicare & Medicaid

Role Summary:

Seeking a Facets Configuration Analyst responsible for configuring and maintaining platform rules, benefits, and parameters supporting claims adjudication and payer operational requirements.

Must-Have Skills:

• Minimum 5 years of Facets configuration experience
• Minimum 3 years supporting CMS products, including:
• Medicare Advantage (MA)
• Medicaid
• Experience with Facets Version 25.1 or later
• Strong understanding of:
• Healthcare payer operations
• Claims adjudication and configuration
• Excellent verbal and written communication skills
• Expertise in at least three (3) ...