Facets Developer

Job Summary We are seeking a highly skilled GeoSpatial Analyst with 8 to 10 years of experience to join our team. The ideal candidate will have extensive experience with Facets Workflow, System Integration, Benefit Configuration, and Benefits. This role is hybrid, with day shifts and no travel required. The GeoSpatial Analyst will contribute to the company’s mission by providing valuable insights and solutions through geospatial data analysis. Responsibilities Lead the analysis and interpretation of geospatial data to support business objectives and decision‑making processes. Oversee the integration of data with Facets systems to ensure seamless workflow and system functionality. Provide expertise in Facets Benefit Configuration to optimize benefit structures and improve overall efficiency. Develop and maintain geospatial databases and ensure data accuracy and integrity. Collaborate with cross‑functional teams to identify and address geospatial data needs and challenges. Implement and manage Facets Benefits to ensure comprehensive and accurate benefit information. Conduct regular audits and quality checks on geospatial data and Facets systems to maintain high standards. Utilize advanced geospatial analysis techniques to identify trends, patterns, and insights that can drive business growth. Support the development and implementation of geospatial data models and workflows. Provide training and support to team members on geospatial analysis tools and techniques. Ensure compliance with industry standards and regulations related to geospatial data and Facets systems. Contribute to the development of best practices and standard operating procedures for geospatial data management. Communicate findings and recommendations to stakeholders through reports, presentations, and visualizations. Substantial intelligence of Facets system applications and understanding of multiple product lines (HMO, POS, PPO, Dental, Indemnity, Medicare and Medicaid). Understanding of provider tables, e.g.; Practitioner, Facility Agreements, Network and Out‑of‑Network tables. Analysis, configuration, data entry, and testing for all Facets subsystems. Build/update new agreements and ratesheets in NetworX Pricer/Modeler as per provider contract. Create new professional agreements in NetworX as per provider contract. Configure, identify, and apply correct qualifier groups and fee schedules to ratesheets. Update NetworX qualifier groups with new codes published. Publish and broadcast ratesheet/qualifier group from NetworX Dev/UAT to Prod environment. Export/import fee schedule and ratesheet from UAT to Prod environment in Pricer. Lead process improvement initiatives (claims adjudication and pricing, enrollment, benefit, billing, etc.). Expertise in coding methodologies and guidelines (CPT, HCPCS, ICD‑9/ICD‑10). Configure billing within Facets for manual check, ACH, adjustment, payment write‑off, deposit, etc. Configure enrollment within Facets for LIS, COB, member, reinstatement, letter, cancellation, etc. Deep functional and development knowledge of Facets and surrounding products including NetworX Pricer. Facets configuration experience, especially claims and provider. Exhibit excellent analytical and problem‑solving skills. Have strong communication and collaboration abilities. Be detail‑oriented and able to manage multiple tasks effectively. Show a commitment to continuous learning and professional development. Be able to work as part of a team. Show a proactive approach to identifying and addressing issues. Demonstrate the ability to create clear and concise reports and visualizations. Qualifications 8 to 10 years of experience. Strong background in geospatial analysis and data interpretation. Extensive experience with Facets Workflow and System Integration. Expertise in Facets Benefit Configuration and benefits. Proficiency in geospatial database management and data integrity. Strong collaboration skills with cross‑functional teams. Experience conducting audits and quality checks on geospatial data. Effective utilization of advanced geospatial analysis techniques. Support development of geospatial data models and workflows. Provide training on geospatial analysis tools and techniques. Ensure compliance with industry standards and regulations. Experience contributing to best practices for geospatial data management. Effective communication of findings to stakeholders. Maintain high level of accuracy and attention to detail. #J-18808-Ljbffr TechDigital Group