Facets Process & Documentation Specialist

Find JobsCandidatesEmployersPricingAbout UsRegister FreeLoginPost a JobFind JobsCandidatesEmployersPricingAbout UsRegister FreeLoginPost a Job Info Back to Free Job Search Facets Process & Documentation Specialist Huron Consulting Group Full-time Remote $105k - $135k / year 7h ago Position Summary Huron is a global consultancy that partners with healthcare organizations to optimize operations, improve financial performance, and drive sustainable transformation. We are seeking a Facets Process & Documentation Specialist (DLP | Desk Level Procedures) with strong expertise in health plan operations, membership processing, claims processing system (i.e.: Facets). This role will focus on designing, documenting, and optimizing Desk Level Procedures (DLPs) that support critical payer workflows across membership, claims, benefits, and configuration processes. This individual will play a key role in translating complex system workflows and business processes into clear, actionable step-by-step procedures that enable operational teams to resolve issues, maintain compliance, and drive consistent execution. Qualifications Key Responsibilities Design and document comprehensive health plan operations desk level procedures for a health plan.Translate business processes and system functionality into clearly defined, step-by-step operational procedures for end users.Develop DLPs that outline:Standard workflowsException handling processesStep-by-step issue resolution proceduresEnsure documentation is accurate, complete, and aligned with current Facets system behavior and business rules.Partner with operations teams align DLPs with Facets system set up across membership, billing, claims, benefits, provider, and pricing modules.Translate operations logic into operational procedures for claims processing, adjustments, and issue resolution.Support troubleshooting of claims and benefit-related issues tied to configuration gaps or system logic.Validate that operational processes reflect accurate claims, adjudication workflows and system dependencies.Provide deep subject matter expertise in:Membership including premium billingClaims adjudication workflowsBenefits configuration and plan designProvider payment and reimbursement processesDevelop procedures that help teams:Investigate errorsIdentify configuration issuesExecute corrections and reprocessing stepsEnsure procedures support consistent, complaint claims and benefits operationsCreate DLPs that clearly outline:How to identify root causes of claims or configuration issuesStep-by-step actions to resolve issues within Facets or downstream systemsEscalation paths and cross-team dependenciesPartner with operational and IT teams to analyze recurring issues and improve existing procedures.Drive consistency in how teams diagnose and resolve claims, configuration, and workflow issues.Collaborate with Claims, Enrollment, Provider Configuration, IT, and Operations teams to define and validate processes.Translate complex technical and system concepts into clear, business-friendly documentation.Support training initiatives by providing DLP documentation and operational guidance for end usersContinuously evaluate and enhance DLPs to improve:Operational efficiencyAccuracy and consistencyIssue resolution timelinesStandardized procedures across clients and environments to ensure repeatable, scalable delivery models.Support system implementations, conversions, and operational transformations with DLP development. Required Qualifications 5+ years of experience working within Healthcare Payer operations.5+ years of healthcare payer experience (Medicare and Medicaid).5+ years of hands-on experience with claims systems (Facets, QNXT, HealthRules), particularly in:Premium billingClaims processingBenefits/Provider configurationOperational workflowsStrong experience developing:Desk Level Procedures (DLPs)SOPs, workflows, or operational documentationDeep understanding of:Eligibility and premium billingClaims adjudication processesBenefits configuration and plan structuresProven ability to:Translate complex processes into clear, step-by-step instructionsTroubleshoot and resolve system/process-related issuesExperience working in a consulting or client-facing environment.Experience building training materials or user guides.AI Tools experience with Copilot, ChatGPT, Claude The estimated base salary for this job is $105,000 - $135,000. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes, and required travel. This job is also eligible to participate in Huron’s annual incentive compensation program, which reflects Huron’s pay for performance philosophy. The job is also eligible to participate in Huron’s benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future. Posting Category Healthcare-Payer Opportunity Type Regular Country United States of America Huron Consulting Group Apply for this job Share this job Related Jobs Film & Television Coach Leland Full-time Remote (AL, US) 4h ago 4h ago Apply El Paso 48HFP City Producer 48 Hour Film Project Remote (El Paso, TX, US) 4h ago 4h ago Apply Ad Operations Specialist, CM360 & Ad Serving Tinuiti Full-time Remote $80k - $90k / year 6h ago 6h ago Apply AI Strategy & Execution Senior Manager Elliot Davis Full-time Remote $150k - $180k / year 6h ago 6h ago Apply Senior Business Analyst (Remote- US) First American Full-time Remote $75.40k - $125.60k / year 7h ago 7h ago Apply Business Analyst - Workday Recruiting, Core HCM, Talent Beacon Mobility Full-time Remote $95k - $115k / year 7h ago 7h ago Apply Territory Sales Executive, Wholesale Fuel World Fuel Services Corp Full-time Remote $80k - $95k / year 7h ago 7h ago Apply (Remote) Sr Account Executive L3Harris Full-time Remote $110k - $220k / year 7h ago 7h ago Apply Threat Management & Insider Risk Manager Amentum Full-time Remote $112k - $140k / year 7h ago 7h ago Apply MOP Analyst – Data Center Construction Amentum Full-time Remote $80k - $100k / year 7h ago 7h ago Apply RSS Jobs Contact Us About Us Press Releases Cover Letters Articles Pricing Jobs Contact CareersElite: (tel/fax) 949.387.5366 Email: Info@CareersElite.com When applying to a job posting, please apply directly on the job you are searching by using apply button for that position. 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