TriZetto Facets jobs in Chicago, IL

Remote

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4d ago

Facets Integration Developer 100% Remote What is in it for you?We are seeking an experienced Facets Integration Developer to support the development, enhancement, and integration of healthcare payer systems centered around the TriZetto Facets platform. The ideal candidate will have strong experience in designing and developing integrations between Facets and enterprise applications, leveraging APIs, middleware, ETL processes, and healthcare data standards. The role requires close collaboration w

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Full-time, Third Party

$55 - $60

Facets Integration Developer

Remote

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Yesterday

Key Responsibilities Develop and supportTriZetto Facets integrations, interfaces, batch processes, and workflows. Build inbound/outbound integrations usingREST/SOAP APIs, middleware, and ETL. Work with healthcare EDI transactions including834, 835, 837, 270/271, and 276/277. Develop complexSQL queries, stored procedures, and database solutions. Support Facets modules includingMembership, Claims, Benefits, Provider, Billing, and Authorization. Perform integration testing, SIT/UAT support, d

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Contract, Third Party

Depends on Experience

Senior Facets Developer - Provider Data

Remote or Hybrid

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Today

Location: Remote EST Our client is seeking a Facets Senior, Lead, or Solution Architect to lead provider data modernization, governance, and integration initiatives within a healthcare payer environment. This opportunity requires deep expertise in the TriZetto Facets Provider Module, provider data management, and healthcare payer operations. This role will partner with business and technology teams to improve provider data quality, streamline provider lifecycle processes, and design scalable in

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Full-time

$100000 - $140000 per annum

Functional Analyst 834 EDI / Facets

Remote

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Yesterday

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

Facets Developer with Healthcare exp Remote

Remote

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12d ago

Remote - CST No OT BGV initiated/ Standard laptop Must Have's: .net; SQL; Facets JD: * Strong hands-on experience as a Senior FACETS Developer with deep expertise in the FACETS healthcare platform. * In-depth knowledge of FACETS architecture, configuration, integrations, and core functionality, with proven experience in designing, developing, and supporting healthcare solutions. * Extensive experience in healthcare domains such as Enrollment, Claims, and Provider Management, with strong knowledg

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Contract

Depends on Experience

Sr. Facets Developer

Remote

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30+d 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

W2 Contract Job : Sr. Facets Developer || Remote

Remote

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30+d 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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Third Party, Contract

$65 - $69

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

Senior Test Automation Engineer with Facets

Remote

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8d ago

Able to obtain Public Trust Senior Test Automation Engineer Fully Remote 6-month contract with strong potential of full time conversion NOTE: Candidates will be screened for a Public Trust and cannot start working until granted. Average timeline between 3-4 weeks. Pay up to $33/hr on W2 & flexible for best match Must Have: Hands-on experience with Facets, specifically supporting modules such as Claims, Membership, Enrollment, Eligibility, Benefits, Provider, Pricing, or Financials.Experience wi

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Contract

33 - 40

Sr. Facets Developer

Remote

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30+d 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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Third Party, Contract

$65 - $70

Facets EDI Specialist

Remote

•

Yesterday

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

Healthcare Business Analyst with Facets

Remote

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Yesterday

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

Facets/ Pre-Auth Consultant

Remote

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3d ago

As a Facets with Pre-Auth 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 . Mandatory skills: facets,UM,Pre-Auth Healthcare Responsibilities: 7 - 10 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.

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Contract

Depends on Experience

Facets Configuration Consultant

Remote

•

Yesterday

100% Remote Role for the Facets Professional Located in the Eastern & Central Coast. Breakdown of Duties/Typical Day: The team is responsible for setting up the benefits in the tool. They set up the facets to make sure the claims are paid correctly. Doing implementation work (simple/complex builds). Might be part of a ticketing system to troubleshoot what the issues are. Description: Serve as the subject matter expert for application areas, including data definitions, usage and file structure

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Contract

50 - 55

Facets NetworX Pricing Analyst

Remote

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3d 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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Third Party, Contract

Depends on Experience

Principal Solutions Architect – Payer Claims Integration (Facets G6)

Remote

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15d ago

Job Title: Principal Solutions Architect, Facets G6 Location: Baltimore, Maryland Type: Contract-to-Hire Compensation: $97.25/HR Work Model: Remote Hours: 40 hours per week Responsibilities Translate business strategy into solution architecture by leading solution architecture deliverables for large, complex portfolios, programs, or product lines, ensuring alignment with enterprise architecture and standards. Define and communicate shared technical and architectural visions across teams, balanc

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Contract

$97.25

Manual QA Tester - Healthcare Claims/Facets

Remote

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Yesterday

Job Description Our client is seeking an experienced Manual QA Tester with strong healthcare payer, claims, Facets, and SQL experience to join their team. The ideal candidate will have a solid understanding of healthcare claims processing and the ability to validate backend data using SQL queries. This role will focus on testing healthcare applications and claims-related functionality, validating data against business requirements and rules, and identifying and clearly communicating defects. The

Contract, Third Party

40 - 45

FACETS Solutions Business Architect

Remote

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Yesterday

Hiring! FACETS Solutions Business Architect - for a contract to hire job opportunity with our direct client. Though this is a 100% remote based job opportunity. Seeking Qualified Candidates with a strong back ground in Healthcare and SME in Claims Adjudication. Please, no agencies or recruiters, only W2 applicants. Job requirement: Proficiency in innovating ideas and solutions resulting in tangible and measurable business outcomes. Mastery in creating architecture solutions within the enterpris

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Contract

Depends on Experience

Principal Solutions Architect – Pharmacy Benefits Integration (Facets G6, EDI)

Remote

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17d ago

Job Title: Principal Solutions Architect, Pharma/PBM Location: Owings Mills, Maryland Type: Contract-to-Hire Compensation: $97.25 Work Model: Hybrid remote Hours: 40.0 Principal Solutions Architect Pharmacy Benefits Integration (Facets G6, EDI) Responsibilities Establish strategic technology direction and create solution architecture for large complex initiatives/projects. Design technical solutions for complex business problems aligning with industry and enterprise standards. Provide techn

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Contract

$97.25

FACETS Developer

Remote or Hybrid

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Yesterday

Remote Only W2 - No corp to Corp Required Technical Skills Software development experience with strong .NET experience. Strong hands-on experience with TriZetto FACETS. Strong experience with C#, .NET, ASP.NET, .NET Core, and Web API. Experience developing RESTful and SOAP web services. Strong SQL Server and/or Oracle experience. Experience with FACETS configuration, customization, interfaces, and integrations. Strong understanding of healthcare payer systems and business processes. Experience

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Contract

TriZetto Facets jobs in Chicago, IL, USA