FACETS CONFIGURATION & HEALTHCARE PAYER TECHNOLOGY SPECIALIST

About the role

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 deep understanding of healthcare payer systems and the ability to support business and operational requirements.

Requirements

• 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

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 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