Facets & SQL Analyst

Requirement Healthcare EDI 837 Manual Tester with Facets Experience We are looking for an experienced Healthcare EDI Manual Tester / QA Analyst with strong hands-on experience in 837 Professional (837P) and Institutional (837I) claims and TriZetto Facets. Required Skills * 5+ years of experience in Healthcare IT / Claims / EDI testing.* Strong hands-on experience with manual testing of 837P and 837I healthcare claims.* Strong understanding of HIPAA X12 5010 claim transactions and EDI file struc

Role: Manual tester Work location remote Need Mandatory Facets Experience Healthcare EDI 837 Manual Tester with Facets Experience We are looking for an experienced Healthcare EDI Manual Tester / QA Analyst with strong hands-on experience in 837 Professional (837P) and Institutional (837I) claims and TriZetto Facets. Required Skills * 5+ years of experience in Healthcare IT / Claims / EDI testing. * Strong hands-on experience with manual testing of 837P and 837I healthcare claims. * Strong u

Job Description Job Description Job Summary Provides senior level analysis for complex data to generate insights that support strategic and operational decision-making. This role designs and delivers reporting, analytics, and data solutions across business and healthcare domains, including claims, utilization, and financial data. Partners with stakeholders to define requirements, develops scalable reporting and data processes, and applies advanced analytical techniques to identify trends, for

10+ years of experience in Healthcare Payer Operations and Facets Configuration.Strong hands-on experience with Facets NetworX Pricer.Proven experience in Provider Pricing and Reimbursement Methodologies.Strong experience with claims analysis and pricing validation.Proficiency in SQL, Excel, and MS Access.Strong requirements analysis, documentation, problem-solving, and communication skills.Experience supporting production incidents, defects, and issue resolution within a healthcare payer enviro