Senior Facets Claims Integration Engineer - Healthcare

About The Role

As a Facets Integration Engineer, you will make an impact by implementing and supporting integration logic for healthcare claims processing as part of a fast-paced Proof of Concept (POC). This role has a strong focus on Facets platform interaction and HIPAA Gateway (HGW) processing for 837 and 835 transactions. You will be a valued member of the delivery team, working closely with EDI, Facets, and claims stakeholders to ensure accurate transaction flow, data integrity, and successful claims outcomes.

Responsibilities

• Develop, implement, and support inbound 837 and outbound 835 transaction processing using the Facets HIPAA Gateway
• Build and maintain data transformations and validations aligned with Facets data models and claims processing workflows
• Work with the Facets external claims database and related interfaces to support data validation, analysis, and troubleshooting
• Configure and support execution of batch jobs related to claims processing activities
• Troubleshoot end-to-end claims processing issues, including rejects, errors, and reconciliation gaps
• Collaborate closely with EDI and Facets teams to ensure proper transaction flow and data integrity across systems
• Support parity validation activities between source claims data and adjudicated outputs

Requirements

• Hands-on experience with Facets, including data models, claims processing, and integration points (required)
• Strong experience with Facets HIPAA Gateway, supporting 837 and 835 transactions (required)
• Experience working with the Facets external claims database and related data structures
• Strong SQL and data analysis skills
• Prior proven experience troubleshooting claims processing issues in a Facets environment
• Solid understanding of X12 transactions, specifically 837 and 835

Qualifications

• Experience supporting healthcare system integrations or Proofs of Concept (POCs)
• Prior collaboration with EDI teams in payer environments
• Proven strong analytical and problem-solving skills with attention to transaction and data integrity
• Ability to work independently and deliver results in fast-moving delivery timelines

Skills

• Ability to operate effectively with minimal ramp-up in an accelerated POC delivery environment

Benefits

• Medical/Dental/Vision/Life Insurance
• Paid holidays plus Paid Time Off
• 401(k) plan and contributions
• Long-term/Short-term Disability
• Paid Parental Leave
• Employee Stock Purchase Plan