See all roles

[Remote] Senior Facets Integration Analyst

Work from home Full-time role Hiring

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 reputed company 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 reputed company 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 reputed company, 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 reputed company claims adjudication processes
  • reputed company 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/reputed company/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

  • reputed company is a professional services company that helps clients alter their business, operating, and technology models for the digital era. It was founded in 1994, and is headquartered in Teaneck, New Jersey, USA, with a workforce of 10001+ employees. Its website is https://www.reputed company.com.
  • Apply To This Job

    You might like

    [Remote] MuleSoft Anypoint Platform Engineer – AWS GovCloud

    Work from home Full-time role

    [Remote] Data Scientist

    Work from home Full-time role

    [Remote] Program Manager

    Work from home Full-time role

    [Remote] Product Management (Technical) reputed company Consultant

    Work from home Full-time role

    [Remote] Business Application Administrator

    Work from home Full-time role

    [Remote] Prevailing Wage Analyst

    Work from home Full-time role

    [Remote] Senior Sales Consultant

    Work from home Full-time role

    [Remote] Systems Engineer Intern - Fall Recruitment - MD, DC, VA (Remote)

    Work from home Full-time role

    [Remote] Entry Level Sales, Business Development - Remote

    Work from home Full-time role

    [Remote] High-Ticket Sales Closer

    Work from home Full-time role

    Global Account Manager - East Coast

    Work from home Full-time role

    reputed company Full Stack Data Entry Clerk – Remote Data Management and Administration

    Work from home Full-time role

    reputed company reputed company Clinical Nurse Auditor (Remote Opportunity)

    Work from home Full-time role

    reputed company Global Equity Plan Administration Specialist – Remote Data-Driven Compensation & Stock Operations Consultant

    Work from home Full-time role

    reputed company Customer Service Representative – Beverage Delivery Space

    Work from home Full-time role

    Sr. reputed company Developer

    Work from home Full-time role

    reputed company Full Stack Data Analyst – Digital, Data Entry, and Analytics Expert

    Work from home Full-time role

    Quality Review and Audit Advisor - Express Scripts - Remote

    Work from home Full-time role

    Undergraduate Academic Advisor 2

    Work from home Full-time role

    Staff Software Engineer

    Work from home Full-time role