Facets jobs in Menomonee Falls, WI

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

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

•

Yesterday

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

Solution Architect – Facets & Medicaid Regulatory Transformation

Remote

•

Yesterday

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 Facets / TriZetto Developer

Remote

•

Yesterday

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 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

Senior QA Engineer Facets & Medicaid Regulatory Solutions

Remote

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Yesterday

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

Senior Facets Developer

Remote

•

Yesterday

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

NetworX Configuration Analyst with Facets exp Remote

Remote

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7d 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 QA Engineer Facets & Medicaid Regulatory Solutions

Remote

•

Today

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

Java Developer with Facets

Remote

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Today

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

Healthcare Business Analyst with Facets

Remote

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25d 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

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

Controls Engineer

Pewaukee, Wisconsin

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Today

Controls Engineer - Turnkey Automation Systems - Direct Hire This Jobot Job is hosted by: Brandon DeDeker Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume. Salary: $65,000 - $130,000 per year A bit about us: Our customer is a leading industrial automation provider. They have about 125 employees and have all facets of engineering on-site such as Mechanical, Controls, Software, Applications and Project. They are looking for a strong Controls Engineer t

Full-time

USD 65,000.00 - 130,000.00 per year

Controls Engineer

Milwaukee, Wisconsin

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Today

Full-time

USD 65,000.00 - 130,000.00 per year

Support and Service Coordinator - Children?s Long Term Support Program (CLTS)

Milwaukee, Wisconsin

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Today

Position Summary: The CLTS Waiver Program is one of Wisconsin's Home and Community Based Services (HCBS) Medicaid Waiver programs, federally authorized under 1915(c) of the Social Security Act. HCBS waiver programs provide Medicaid funding that may be used to fund allowable support and services that promote individuals in the waiver access and inclusion in their home and community. Eligible participants include youth between the ages of 0-22 with developmental, severe emotional, and/or physical

Full-time

Project Engineer II

Milwaukee, Wisconsin

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Today

Join a nationally recognized mechanical contractor and take your career to the next level supporting complex commercial construction projects from preconstruction through completion. This Jobot Job is hosted by: Tiffany D'Angelo Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume. Salary: $85,000 - $120,000 per year A bit about us: Join an industry-leading MEP and building systems contractor known for delivering some of the nation's most complex and inn

Full-time

USD 85,000.00 - 120,000.00 per year

IT & Cybersecurity Regulatory Response Consultant III

Milwaukee, Wisconsin

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Today

About the Job: The IT & Cybersecurity Regulatory Response Consultant supports the organization's response to cybersecurity regulatory examinations, investigations, and certification activities. As a second-line risk and compliance role, this position partners closely with first-line technology teams and third-line auditors to interpret regulatory requirements and support regulatory readiness across the organization. Success in this role requires strong communication, stakeholder management, and

Full-time

USD 89,360.00 per year

Automation Engineer II - Mechatronics

Menomonee Falls, Wisconsin

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Today

Automation Engineer II Job Description: Applicants must be authorized to work in the U.S.; Sponsorship is not available for this position at this time. Come be DISRUPTIVE with us! At Milwaukee Tool we firmly believe that our People and our Culture are the secrets to our success -- so we give you unlimited access to everything you need to create innovative new solutions on our engineering team. All our teams touch every step of the process, that is why our Engineering teams are some of the key c

Full-time

Facets jobs in Menomonee Falls, WI 53051, USA