Facets jobs in Dayton, OH

FACETS Architect (with Healthcare Claims)

Remote

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Today

Remote Job Contract to Hire Important Notes from HM: Proficiency in innovating ideas and solutions resulting in tangible and measurable business outcomes. Mastery in creating architecture solutions within the enterprise architecture future state for technological acceleration of value outcomes, and effectively present and persuade key decision makers to invest in this acceleration. Must have recent solution/domain architecture experience with Facets G6 real-time and batch claims processing,

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Contract

$80 - $90

Solution Architect – Facets & Medicaid Regulatory Transformation

Remote

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2d ago

We are seeking a senior Healthcare Solution Architect with strong TriZetto Facets architecture experience and expertise in Medicaid managed care and state-specific regulatory transformations. Key Responsibilities: Lead end-to-end architecture for Medicaid regulatory changes across healthcare payer platforms. Assess impacts across Facets, Mainframe, Java/J2EE, APIs, databases, batch systems, and ETL platforms. Design solutions for member enrollment, eligibility, benefits, claims adjudication, pri

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Contract

Depends on Experience

Senior EDI Support Specialist / EDI / Healthcare Payer | Facets Ecosystem

Remote

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Today

Request ID: 23873-1 Start/End Dates: 10/28/2026 - 12/31/2026 Tax Work Location: USA-Working from Home Job Title: Senior EDI Support Specialist / SalesMktg - Lead I - Product Support Job Description: Senior EDI Support Specialist (Healthcare Payer | Facets Ecosystem) Experience: 8+ Years IT | 5+ Years Healthcare Payer & EDI | 3+ Years Edifecs/TriZetto HIPAA Gateway Summary: Seeking a Senior EDI Support Specialist with strong Healthcare Payer experience to provide L2/L3 support for enterprise

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Full-time, Part-time, Third Party, Contract

USD 55-60

Solution Architect - Facets & Medicaid Regulatory Transformation

Remote

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2d ago

Hi, Role:Solution Architect Facets & Medicaid Regulatory Transformation Location: Remote Broad architecture expertise across Mainframe + Java + Facets + DataStage/Talend, because they need to determine where each regulatory change belongs. Role Summary Seeking a senior healthcare Solution Architect to lead architecture and solution design for state-specific Medicaid regulatory changes across the health-plan technology ecosystem. The architect should have deep knowledge of Facets, Mainframe,

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Full-time, Third Party

Depends on Experience

Senior Facets / TriZetto Developer

Remote

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2d ago

We are seeking an experienced Senior Facets Developer to support state-specific Medicaid regulatory implementations across TriZetto Facets and related healthcare applications. The ideal candidate will have strong hands-on Facets development, Java/J2EE programming, Medicaid managed-care expertise, and experience with Mainframe and enterprise ETL technologies. Required Qualifications Strong hands-on experience with TriZetto Facets.Strong Java/J2EE development and programming skills.Experience with

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Contract

Depends on Experience

Senior Facets Developer

Remote

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2d ago

Job title: Senior Facets Developer Location: Remote Job type: Full time and Contract c2c both Interview: Video JD Candidates must have experience delivering healthcare payer solutions across a combination of TriZetto Facets, Mainframe, Java/J2EE, IBM DataStage, Talend/TalendWorks, databases, batch processing, APIs and system integrations. Candidates should have strong knowledge of Medicaid managed-care processes and state-specific regulatory requirements, together with a good understanding of Me

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Full-time

Depends on Experience

Senior QA Engineer Facets & Medicaid Regulatory Solutions

Remote

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2d ago

Job title: Senior QA Engineer Facets & Medicaid Regulatory Solutions Location: Remote Job type; Full time Interview: Video Candidates should have strong knowledge of Medicaid managed-care operations and experience working with state-specific Medicaid requirements. They should understand how regulatory changes affect member enrollment/eligibility, coverage, claim processing, authorization, pricing/payment, data and downstream health-plan operations. They should also possess a good working unders

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Full-time

Depends on Experience

NetworX Configuration Analyst with Facets exp Remote

Remote

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8d ago

Must Have's: 1.NetworX Pricer and NetworX Modeler experience. 2. Provider contract and reimbursement configuration experience. Experience with fee schedules, pricing methodologies, and network reimbursement. 3. FACETS configuration and claims adjudication knowledge. Job Summary We are seeking a NetworX Configuration Analyst to support provider contract pricing, reimbursement configuration, and claims adjudication within the NetworX Pricing platform. The ideal candidate will have strong healthcar

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Contract

Depends on Experience

Senior Facets / Java Developer (Remote)

Remote

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Today

Role Summary An experienced Facets / Mainframe / Java Developer or Engineer to support implementation of state-specific Medicaid regulatory changes across Facets and surrounding healthcare applications. The engineer will work with regulatory, business, architecture, and QA teams to translate Medicaid requirements into system configuration, application changes, integrations, and data-processing solutions. The ideal candidate combines strong Facets claims and membership knowledge with hands-on J

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Full-time, Part-time, Contract, Third Party

Senior QA Engineer Facets & Medicaid Regulatory Solutions

Remote

•

Yesterday

Job Description: We are looking for a Senior QA Engineer with strong healthcare payer and Medicaid managed-care experience. Key Skills: TriZetto Facets testing Medicaid regulatory and state-specific requirements End-to-end integration testing Mainframe and Java application testing ETL testing (DataStage, Talend/TalendWorks) SQL, data validation, and reconciliation Claims, enrollment, eligibility, benefits, and payment testing

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Contract

Depends on Experience

Healthcare Business Analyst with Facets

Remote

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26d ago

Over 10 Years of ITExperience. Over 5 years of experience as a HealthcareBA. Solid experience with Facets. Good to have experience in the Healthcare Industry. Good communication skills. Thanks and Regards, Aju Shakti Group Inc Email:

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Contract

Depends on Experience

Java Developer with Facets

Remote

•

Yesterday

Job Qualifications and Responsibilities for Java Developer with Facets: Strong hands-on experience in Java, J2EE, Spring, and Spring Boot. Experience working with TriZetto Facets in a healthcare payer environment. Knowledge of healthcare payer processes, including claims, eligibility, enrollment, benefits, and provider management. Experience with REST APIs, SOAP web services, and system integrations. Strong SQL skills and experience with relational databases such as Oracle or SQL Server. Experie

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Contract, Third Party

$DOE

Senior Facets / Java Developer Medicaid Regulatory Solutions

Remote

•

Today

Role Summary An experienced Facets / Java Developer or Engineer to support implementation of state-specific Medicaid regulatory changes across Facets and surrounding healthcare applications. The engineer will work with regulatory, business, architecture, and QA teams to translate Medicaid requirements into system configuration, application changes, integrations, and data-processing solutions. The ideal candidate combines strong Facets claims and membership knowledge with hands-on Java engineerin

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Contract

Functional Analyst 834 EDI / Facets

Remote

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Today

Company Description Lumen SolutionsGroupInc. is a technology consulting Services company based inFlorida. Weprovidea wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, and EnterpriseTransformation. Role: Functional Analyst 834 EDI / Facets Location: Baltimore, MD (Remote Require

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Contract

Depends on Experience

Encounters Systems Analyst II

Remote or Dayton, Ohio

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Today

Job Summary: The Encounters Systems Analyst II is responsible for performing analysis of Encounters data and understanding the financial and clinical impact of changes and decisions to the business process to ensure that the Service Level Agreements are achieved. Essential Functions: Perform analysis of Encounter data. Understand the financial and clinical impact of changes and decisions to the business process to ensure that the Service Level Agreements (SLAs) are achievedSupport for Regulato

Full-time

USD 62,700.00 - 100,400.00 per year

Systems Analyst III

Remote or Dayton, Ohio

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Today

Job Summary: The Systems Analyst is responsible for leading research and analysis to identify systems impacted by requirements, possible interfaces, cross team dependencies and affected lines of business. Preferred Skills: Strong systems-thinking skills with the ability to analyze end-to-end business processes, system interactions, and upstream/downstream dependencies.Process: Experience partnering with business and technical stakeholders to define, document, maintain, and improve end-to-end

Full-time

USD 94,100.00 - 164,800.00 per year

Senior EDI Developer / EDI developer

Remote

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Today

Job Description: Senior EDI Developer (Healthcare Payer | Facets Ecosystem) Experience: 8+ Years IT | 5+ Years Healthcare Payer & EDI | 3+ Years Edifecs/TriZetto HIPAA Gateway Summary: Seeking a Senior EDI Developer with strong Healthcare Payer experience to design, develop, and optimize HIPAA X12 integrations within a Facets-based ecosystem. The role requires hands-on expertise in Edifecs/TriZetto HIPAA Gateway, EDI mapping, trading partner integrations, and high-volume transaction processing

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Full-time, Part-time, Third Party, Contract

USD 70-75

Senior QA Engineer (Remote)

Remote

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Today

"Role Summary Seeking a Senior QA Engineer with strong Medicaid payer and Facets expertise to independently validate state-specific regulatory implementations across Facets, Mainframe, Java, DataStage, Talend/TalendWorks, and associated applications. Key Responsibilities Analyze Medicaid regulatory requirements and develop comprehensive test scenarios for individual states. Validate end-to-end changes across: o Facets o Mainframe o Java applications o DataStage o Talend/TalendWorks o API

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Full-time, Part-time, Third Party, Contract

Solution Architect

Remote

•

Today

"Role Summary Seeking a senior healthcare Solution Architect to lead architecture and solution design for state-specific Medicaid regulatory changes across the health-plan technology ecosystem. The architect should have deep knowledge of Facets, Mainframe, Java, DataStage, Talend/TalendWorks and healthcare payer architecture, combined with strong Medicaid regulatory and business-process knowledge. Key Responsibilities Own end-to-end technical architecture for state-specific Medicaid regulator

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Full-time, Part-time, Contract, Third Party

Senior Observability Engineer (New Relic Consolidation)

Remote

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Today

We are looking for a Senior Observability Engineer to take ownership of the multi-tenant New Relic consolidation layer aggregating telemetry across our agent estate, within an Enterprise Agent Development Platform empowering engineering teams to define, orchestrate, deploy, and observe AI agents at scale across the organization. Responsibilities Own and administer the multi-tenant New Relic consolidation layer across the agent estate Aggregate telemetry from multiple project tenants through cros

Full-time

Facets jobs in Dayton, OH, USA