FACETS Configuration & Healthcare Payer Technology Specialist

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

Must-Have Skills

• 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.

Key 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 3 Responsibilities

1. Develop and maintain FACETS configurations supporting claims and enrollment processes.
2. Use SQL and data analysis to troubleshoot issues and validate business requirements.
3. Provide technical and functional support for healthcare payer systems and FACETS operations.