Facets Configuration Support

Role: Clinical Care Advance (CCA) Configuration Analyst Experience: 5 12 Years Role Summary We are seeking experienced TriZetto Clinical Care Advance (CCA) Configuration experts to support a large-scale Utilization Management (UM) and Prior Authorization (PA) modernization program for a leading US Healthcare payer. The role involves hands-on configuration of CCA workflows, business rules, authorizations, correspondence, and integrations. Key Responsibilities Configure CCA workflows and busine

We are looking for an experienced Facets Developer with strong healthcare payer domain expertise to design, develop, customize, and support applications on the TriZetto Facets platform. The ideal candidate should have hands-on experience with core Facets modules, healthcare claims processing, SQL/PLSQL development, and system integrations. Required Skills7+ years of IT experience with 5+ years of hands-on experience in TriZetto Facets.Strong experience in Healthcare Payer domain.Hands-on experie

Job Title: NetworX Configuration Analyst Location: Remote EST, but HM is flexible if candidate is strong Experience: 12+ Years Must have hands on experience in NetworX Pricer (5-6 yrs) Facets is not required, but nice to haveNetworX Configuration (Integrated NetworX)Oracle SQLReview contract, Agreement testing, migration, assignment Requirement: Configure, maintain, and model complex pricing logic within the TriZetto Facets Integrated NetworX Pricer software system.Translate managed care provi

Description: Must have hands on experience in NetworX Pricer (5-6 yrs) Facets is not required, but nice to have NetworX Configuration (Integrated NetworX) Oracle SQL Review contract, Agreement testing, migration, assignment Configure, maintain, and model complex pricing logic within the TriZetto Facets Integrated NetworX Pricer software system. Translate managed care provider contract language into precise fee schedules, rate sheets, and system qualifiers. Manage day-to-day configuration workfl