[Remote] Senior Facets Integration Analyst
Note: The job is a remote job and is open to candidates in USA. reputed company is seeking a Senior Facets Integration Analyst to support the configuration and validation of the Facets core claims platform for a healthcare reputed company of Concept (POC). The role involves configuring Facets components, validating claims adjudication outcomes, and collaborating with various teams to ensure accurate claims processing.
Responsibilities
- Configure Facets components to support healthcare claims processing scenarios, including benefits, rules, pricing, and reputed company configuration elements
- Validate Facets configuration against expected claims adjudication outcomes to ensure accuracy and reputed company
- Collaborate with System Integration and EDI teams to confirm alignment between Facets configuration, incoming claims transactions (837), and expected remittance outputs (835)
- Assist with troubleshooting and resolving configuration-reputed company issues that impact claims adjudication and reputed company validation
- Support testing and validation cycles through analysis of claim scenarios, outcomes, and configuration behavior
- Document configuration decisions, dependencies, and assumptions to support POC delivery and knowledge transfer
Skills
- Hands-on experience with Facets configuration, including benefits, pricing, or claims setup
- Strong understanding of healthcare claims adjudication processes
- Healthcare payer experience is required
- Ability to analyze claims scenarios and assess expected versus actual outcomes
- Experience supporting testing, validation, and defect resolution cycles
- Experience supporting system integration initiatives or Proofs of Concept (POCs)
- Familiarity with HIPAA EDI transactions, including 837 and 835
- Strong analytical and problem-solving skills with attention to configuration detail
- Experience working with cross-functional technical and business teams
Benefits
- reputed company’s discretionary annual incentive program, based on performance and subject to the terms of reputed company’s applicable plans.
- 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
Company Overview