Facets jobs in columbia, sc

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

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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 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 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, Contract, Third Party

USD 55-60

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

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

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 QA Engineer Facets & Medicaid Regulatory Solutions

Remote

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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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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

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

Senior Facets / Java Developer Medicaid Regulatory Solutions

Remote

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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

Structural Engineering Associate, Bridge

Columbia, South Carolina

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Today

Job Description Civil Associate, Bridge (Hybrid) What We're Looking For: Michael Baker International is seeking a motivated Civil Associate to join our Bridge Team in either Columbia or Greenville, South Carolina. This is an opportunity to collaborate with some of the most talented Bridge engineering experts in the nation. What You'll Do: Perform complex structural analysis and prepare design calculations Develop or assist in developing structural details and construction plans Prepare geomet

Full-time

USD 75,000.00 - 95,000.00 per year

Senior Structural CADD Designer

Columbia, South Carolina

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Today

Job Description What We're Looking For: Michael Baker International is seeking a Senior Structural CADD Designer to join our transportation team. This is an excellent opportunity for an experienced designer to contribute to impactful transportation and bridge projects while mentoring the next generation of CADD professionals. In this role, you will develop detailed plans for bridges and transportation structures using industry-leading CADD platforms. You will collaborate with multidisciplinar

Full-time

USD 80,000.00 - 110,000.00 per year

Reliability Engineer

Cayce, South Carolina

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Today

it's what's inside that counts There's more to CMC than our products and the buildings, structures, and roads they go into. At CMC, it's the people inside our recycling centers, fabrication plants, manufacturing facilities, steel mills and offices that make us who we are as a company. Our success comes from finding, retaining, and supporting the highest quality talent by offering: Day 1 Benefits Coverage with low cost Medical, Vision, Dental Day 1 Paid-time Off and Vacation 4.5% Company Match 4

Full-time

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, Contract, Third Party

Solution Architect

Remote

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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

Facets jobs in Columbia, SC, USA