Facets jobs

profiles with very strong Facets config and testing experience.

FACETS configuration Developer

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,

Job Title: Technology Specialist - IT Service, Support and Operations | Facets | Facets Configuration Work Location: Durham, NC Job Details: Must Have Skills SQL Facets FACETS configuration, data analysis, troubleshooting, and database querying to support business and operational requirements. Nice to have skills FACETS Developer with handson experience in Claims Processing, Enrollment, and SQL Skilled in healthcare payer systems, FACETS configuration, data analysis, troublesho

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

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

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

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

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

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

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

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

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

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

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

Job Description: Our client is seeking a talented and experienced Facets Developer to join our dynamic team. The ideal candidate will play a crucial role in developing, integrating, testing and maintaining our existing and new healthcare management software based on the Facets platform. As a Facets Developer, you will collaborate with cross-functional teams to ensure the successful implementation of software solutions that meet the unique needs of our clients. Responsibilities: Bachelor Degree a

.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

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

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

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