1.Job title: Facets Consultant with Blue Square
Location: Remote
What is in it for you?
As a Facets Consultant, you will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards.
Responsibilities:
- 5 8 years in FACETS ITS/BlueCard processing and configuration
- Strong understanding of BlueCard business rules and alpha prefix logic
- Strong knowledge of Facets ITS claims processing steps, and associated data transmission formats like SF/DF/RF, etc.
- Prior experience with BCBSA guidelines and BlueSquare operations
- Deep understanding of US healthcare payer operations
- Ability to analyze complex rules and configurations
- Strong documentation and communication skillsSkills:
Mandatory Skills:
- FACETS ITS / BlueCard
- Alpha Prefix & Host/Home Plan Routing
- BlueSquare Configuration
- SQL & Claims Routing Logic
- Critical Thinking & Problem Solving
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2.Job title: Facets Consultant with Pre-Auth Configuration
Location: Remote
What is in it for you?
As a Facets Consultant, you will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards.
Responsibilities:
- 5 8 years in UM/Pre-Auth configuration within FACETS
- Familiarity with UM workflows, clinical guidelines, and state mandates
- Experience working with clinical/utilization management stakeholders
- Deep understanding of US healthcare payer operations
- Ability to analyze complex rules and configurationsStrong documentation and communication skills
Mandatory Skills:
- FACETS UM/Pre-Auth Configuration
- ITS/Authorization Routing Logic
- SQL & Rule Traceability
"Disclaimer: E-Solutions Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. We especially invite women, minorities, veterans, and individuals with disabilities to apply. EEO/AA/M/F/Vet/Disability."
Facets Consultant with Blue Square/Facets Consultant with Pre-Auth Configuration1Facets, BlueSquare Configuration, SQL & Claims Routing Logic, FACETS ITS / BlueCard, Alpha Prefix & Host/Home Plan Routing, FACETS UM/Pre-Auth Configuration, SQL & Rule Traceability, ITS/Authorization Routing LogicN/AC2CUnited States
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