Senior Facets Analyst
Full-time
Tegria
Role Description
A Facets Product Analyst analyzes business and user needs, then translates these into Facets system configurations for healthcare payers, focusing on product/benefit setup, enrollment, and claims processes. Key duties include:
- Configuring the Facets healthcare administration system
- Documenting product and benefit structures
- Testing configurations
- Creating reports
- Validating data
- Collaborating with IT and business teams to ensure the system meets regulatory compliance and operational requirements
Additional responsibilities include:
- Analyze, design, configure, and manage Facets modules for claims, members, provider management, and benefit product
- Conduct client sessions to gather requirements, provide guidance, and ensure configurations meet operational and regulatory needs
- Perform system testing, troubleshoot issues, and deliver root cause analysis with hands-on resolution to maintain accuracy and reliability
- Develop and maintain clear documentation of system functionality, configuration standards, and process workflows to support long-term usability
Qualifications
- Strong analytical and problem-solving skills
- In-depth knowledge of Facets core modules and workflows
- Proficient in tools like SQL for data analysis and Facets-specific web services
- Strong understanding of the healthcare payer domain, including claims processing, benefits, membership, and provider management
- Ability to develop relationships with stakeholders and understand the requirements through excellent listening and effective written and verbal communication
- Ability to adapt to varied business challenges and work in a dynamic environment
Requirements
- High School diploma equivalency with 2 years of cumulative experience OR Associate’s degree/Technical degree OR 4 years of applicable cumulative job specific experience required
Benefits
- Choice of multiple health and dental plans with nationally recognized networks
- Vision benefits
- Total wellness program
- Employee assistance program for you and your family
- Competitive wages
- Retirement savings plans
- Company-paid disability and life insurance
- Pre-tax savings opportunities (HSA and/or FSA)
- Professional development offerings
- Opportunities for remote work
- Generous paid-time-off program
Vacancy posted 3 days ago
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