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CONFIGURATION ANALYST with Facets - Salt Lake City, UT

Location
Salt Lake City, Utah
Job Type
Permanent
Posted
4 Sep 2022
Job Description

CONFIGURATION Healthcare ANALYST with Facets
Salt Lake City, UT (remote for now)

Healthcare Expert with 8-10 years of experience in US healthcare payer industry and having worked on delivery teams
• Excellent knowledge in payer business processes and deep understanding of payer end to end services.
• Experience in configuration of core business entities such as Contracts is mandatory.
• Experience with FACETS core administrative platform and having worked on configuration of Provider, Plan, Products, Benefits, Core Pricing & NetworX Pricer
• Analyze requests, determine best

Experience 5to8yrs
Required Skills - ,Facets, Facets - Provider, Networx, SQL

Technical Skills- ,ANSI SQL,PL/SQL

.Roles & Responsibilities
Healthcare Expert with 8-10 years of experience in US healthcare payer industry and having worked on delivery teams
• Excellent knowledge in payer business processes and deep understanding of payer end to end services.
• Experience in configuration of core business entities such as Contracts is mandatory.
• Experience with FACETS core administrative platform and having worked on configuration of Provider, Plan, Products, Benefits, Core Pricing & NetworX Pricer
• Analyze requests, determine best operational approach to perform contract/Agreement configuration.
• Provide direction to the team on building rate sheets/fee schedules/ qualifier groups
• Working and troubleshooting claims that suspend for lack of Contracts or Provider configuration issues in the claims processing system.
• Provide SME support and clarify questions related to Benefits/pricing configuration.
• Should have back-end automation experience, ability to do back-end configuration and good knowledge on FACETS/NetworX Data Model and skilled in writing SQL.
• Take part in contract configuration design related discussions with client team and provide suggestions
• Work closely with client and onsite team members to understand the current and future assignments.
• Review project tasks performed by associates and suggest required changes to meet project requirements.
• Ability to lead team for respective business entities as needed and develop procedures, service standards for business excellence.
• Should be a self-driven person possess strong interaction skills with business users of customer

Diverse Lynx LLC is an Equal Employment Opportunity employer. All qualified applicants will receive due consideration for employment without any discrimination. All applicants will be evaluated solely on the basis of their ability, competence and their proven capability to perform the functions outlined in the corresponding role. We promote and support a diverse workforce across all levels in the company.
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Details

  • Job Reference: 703991368-2
  • Date Posted: 4 September 2022
  • Recruiter: Diverse Lynx
  • Location: Salt Lake City, Utah
  • Salary: On Application
  • Sector: Government & Defence
  • Job Type: Permanent