Facets jobs in Long Beach, CA

Remote

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5d ago

Job Title: Facets EDI Specialist Location: 100% Remote Duration: Long Term Contract Job Summary We are seeking an experienced Edifecs Encounter Specialist with strong hands-on experience in healthcare encounters, Edifecs, and encounter data processing. The ideal candidate will have a solid understanding of encounter lifecycle, encounter validation, error analysis, data quality, and healthcare claims/encounter processes. The candidate should also have working knowledge of Facets navigation and be

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Contract

Depends on Experience

Sr. Facets Developer

Remote

•

11d ago

Title :Sr. Facets Developer Location :Remote Must Have's: Facets Developer + SME/Lead SQL/Procedures .Net JD: Responsible for design, development, and support activities in core Facets Applications within Membership and Claims Domain. Exhibit strong ownership and ability to work in global team environment. Agile - Works with product management to ensure stories are well worded, have appropriate acceptance criteria and are sized appropriately. 4.Required Skills

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Contract, Third Party

Depends on Experience

Facets Analyst

Remote

•

18d ago

Job Title :Facets Analyst Experience 5+ Years Job Description We are looking for an experienced Facets Analyst with strong expertise in the US Healthcare Payer domain. The ideal candidate should have hands-on experience with Facets, particularly in Claims Processing, along with strong analytical and Oracle PL/SQL skills. This role involves analyzing business requirements, supporting Facets applications, troubleshooting claims issues, and collaborating with business and technical teams. Ma

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Contract, Third Party

Depends on Experience

Facets Developer with .Net

Remote

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3d ago

Facets Developer with .Net Remote Developer Integration / Full Stack (1 Resource) Supports build and integration delivery for the Covered California Exchange plan launch across highly connected platforms. Scope includes development, configuration, and technical troubleshooting across FACETS, EDI (834) and related systems. Works in parallel with requirements, testing, and defect triage in a fast-moving environment to ensure timely delivery and stable end-to-end functionality. The main things

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Contract

60 - 65

Sr. Facets Developer

Remote

•

11d ago

Hi, I have a job opportunity for you. Kindly go through the Job Description and if interested, kindly send me your updated resume. Job Role: Sr. Facets Developer Location: US Remote Duration: 12+ Months (W2 Only) Must Have's: Facets Developer + SME/Lead SQL/Procedures .Net Job Description: Responsible for design, development, and support activities in core Facets Applications within Membership and Claims Domain. Exhibit strong ownership and ability to work in glo

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Contract, Third Party

$65 - $70

W2 Contract Job : Sr. Facets Developer || Remote

Remote

•

10d ago

Job Role: Sr. Facets Developer Location : Remote Hire Type : Contract Acceptable Tax-Terms : W2 Job description : Responsible for design, development, and support activities in core Facets Applications within Membership and Claims Domain. Exhibit strong ownership and ability to work in global team environment. Agile - Works with product management to ensure stories are well worded, have appropriate acceptance criteria and are sized appropriately. Required Skills Technical Skills- Facets

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Contract, Third Party

$65 - $69

Automation Test Engineer (Facets) W2 Contract

Remote

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4d ago

Title: Automation Test Engineer / Quality Engineer (Facets) Location: Remote (WI) Duration: Long Term About the Role We are looking for a hands on Automation Test Engineer / Quality Engineer with strong expertise in Python and Robot Framework to design, build, and maintain reliable automation for desktop and legacy systems. The ideal candidate will take ownership of automation quality, eliminate test flakiness, and ensure stable execution through Azure DevOps. Complete knowledge of the FACETS a

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Contract

Depends on Experience

Benefits Configuration Analyst- Facets

Remote

•

Today

Role: Benefits Configuration Analyst (Facets) Location: Remote Type: Fulltime Job description: Role & Responsibilities: Design, analyze, and implement benefit coding change requests with a high level of precision, ensuring alignment with client specifications and regulatory requirements.Gather, interpret, and evaluate complex client requirements to assess the impact of benefit designs on claims processing; effectively communicate tailored benefit setup options to stakeholders and internal teams,

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Full-time

Depends on Experience

BSA (Business Systems Analyst) - EDI/claims analysis, Facets - Remote

Remote

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13d ago

Requirement Healthcare EDI Business Systems Analyst (BSA) 837 & Facets Position Overview We are looking for an experienced Healthcare EDI Business Systems Analyst (BSA) with strong knowledge of Healthcare Claims, HIPAA EDI transactions, 837 Professional (837P), 837 Institutional (837I), and TriZetto Facets. The ideal candidate should have a strong understanding of healthcare payer operations and be capable of analyzing business and system requirements, reviewing EDI transactions at the loop/segm

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Contract, Third Party

$40 - $50

Automation Test Engineer / Quality Engineer (Facets)

Remote

•

Today

Hi All, Good Morning, Immedaite need for the below requirement Title:Automation Test Engineer / Quality Engineer (Facets) Location:Remote (WI) Duration: Long Term About the Role We are looking for a handsonAutomation Test Engineer / Quality Engineerwith strong expertise inPythonandRobot Frameworkto design, build, and maintain reliable automation for desktop and legacy systems. The ideal candidate will take ownership of automation quality, eliminate test flakiness, and ensure stable execution th

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Contract

50 - 52

Automation Test Engineer / Quality Engineer (Facets)

Remote

•

Today

Title: Automation Test Engineer / Quality Engineer (Facets) Location: Remote (WI) Duration: Long Term Key Responsibilities Design, develop, and maintain automated test suites using Python and Robot Framework for functional, regression, integration, and system testing.Implement desktop automation using Pywinauto and Pytest, following Page Object Model for scalability and maintainability.Ensure test stability by eliminating flakiness through robust synchronization, deterministic test patterns, st

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Full-time

Depends on Experience

Healthcare EDI 837 Manual Tester with Facets Experience

Remote

•

Today

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

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Contract

Depends on Experience

Facets Developer

Remote

•

Today

Facets Developer Remote Required Skills 5+ years of experience in TriZetto Facets development. Strong understanding of health insurance / healthcare domain. Hands-on experience with Facets modules such as: Membership Claims Benefits Provider Billing Enrollment Strong knowledge of Facets configuration and customization. Experience with Facets batch processing and interfaces. Strong SQL skills and experience working with relational databases. Experience with Unix/Linux and shell scripti

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Third Party, Contract

Facets Developer

Remote

•

Today

Required Skills: 5+ years of experience in TriZetto Facets development. Strong understanding of health insurance / healthcare domain. Hands-on experience with Facets modules such as: Membership Claims Benefits Provider Billing Enrollment Strong knowledge of Facets configuration and customization. Experience with Facets batch processing and interfaces. Strong SQL skills and experience working with relational databases. Experience with Unix/Linux and shell scripting. Knowledge of health

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

.NET Developer With Facets and Healthcare Experience

Remote or Mountlake Terrace, Washington

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6d ago

.NET Developer with advanced proficiency in SQL and proven expertise in healthcare applications. Hands-on experience in Facets - Member, Claims, Providers, Accum and open access services (web / REST services APIs). Preferability to have experience to design, build, and deploy intelligent systems powered by Generative AI and Agentic AI frameworks. The successful candidate will be responsible for designing, developing, and supporting .NET-based solutions that facilitate healthcare workflows and co

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Contract

Depends on Experience

Facets Analyst

Remote

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3d ago

Over All Experience 8+years Facets with claims knowledge is must Facets, US healthcare payer domain, claims processing, analytical skills, oracle pl sql Good to have: .net

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Contract, Third Party

Depends on Experience

Facets Business System Analyst

Remote

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12d ago

Job Title: Business System Analyst 100% Hybrid (Onsite Cadence: Tuesdays) Specific Skillset Requirements:We are seeking a seasoned Business Analyst with expertise in Optum Claims Editing System (CES) with integration experience with Facets and Epic Tapestry. This individual will be responsible for driving CES configuration, edit implementation, and system alignments. The role demands cross-functional collaboration, system analysis, and execution oversight to enhance claims adjudication workflows

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Full-time, Third Party

Depends on Experience

Facets NetworX Pricing Analyst

Remote

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4d ago

Technical Skills 10+ years of experience in Healthcare Payer Operations and Facets Configuration. NetworX PricerProvider Pricing ConfigurationContract Pricing SetupClaims Pricing ValidationExperience performing claims analysis and pricing validation.Working knowledge of:SQLReporting ToolsData AnalysisExperience supporting production incidents and defect resolution.Knowledge of software development lifecycle (SDLC) and Agile methodologies.Strong documentation and requirement analysis skills. Tech

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Contract, Third Party

Depends on Experience

FACETS Developer

Remote or Hybrid

•

Today

Remote position Required Skills 5+ years of experience in FACETS development or healthcare payer application development. Strong hands-on experience with Cognizant TriZetto FACETS. Strong knowledge of healthcare insurance/payer processes. Experience with Claims, Membership, Enrollment, Benefits, Billing, and Provider modules. Strong Oracle/SQL development skills. Experience with FACETS configuration, customization, and integrations. Experience with Java/J2EE or related application development t

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Third Party

Manual Tester with Facets Experience at remote

Remote

•

17d ago

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

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Contract

$40 - $50

Facets jobs in Long Beach, CA, USA