Trizetto facets jobs in chicago, il

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

Facets Integration Developer

Remote

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3d ago

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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Third Party, Contract

Depends on Experience

Functional Analyst 834 EDI / Facets

Remote

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2d ago

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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21d 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

FACETS Architect (with Healthcare Claims)

Remote

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2d ago

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

Senior Facets Architect

Remote

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2d ago

Role Summary A senior-level Facets Architect position focusing on the modernization of Medicare claims processing systems through cloud-native solutions. This role involves leading the design, implementation, and optimization of Facets platform deployments on Amazon Web Services (AWS), ensuring high performance, security, and regulatory compliance. The architect will collaborate with stakeholders, guide technical teams, and apply best practices in cloud architecture and healthcare IT to support

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Third Party, Contract

Depends on Experience

FACETS Developer

Remote

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3d ago

Role: FACETS Developer with .NET Experience Location: Remote Job Description: FACETS development/customization with strong knowledge of the healthcare/health insurance domain. Hands-on experience with .NET / C# / ASP.NET development and application support. Strong understanding of FACETS modules, including Claims, Membership/Enrollment, Benefits, Providers, and Billing. Experience in developing, customizing, and maintaining FACETS applications and interfaces. Strong experience with SQL/Oracl

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Contract, Third Party

Depends on Experience

Facets Developer with API

Remote

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2d ago

Hi Professionals, As an Facets .Net Developer, 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 . Responsibilities: - Custom code Development, Production support, Unit Testing Facets Experience .NET, C# programming languages Experience: - 8+ Years Location: - Remote Educational Qualifications: - Engineering Degree BE/ME/BTech/MTech/BSc/MSc. Technical certification in

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Contract, Third Party

Depends on Experience

Facets Analyst

Remote

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12d 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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Third Party, Contract

Depends on Experience

Facets EDI Specialist

Remote

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4d 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

Healthcare Business Analyst with Facets

Remote

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9d 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

Facets/ Pre-Auth Consultant

Remote

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5d 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

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5d ago

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

Principal Solutions Architect – Payer Claims Integration (Facets G6)

Remote

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4d 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

FACETS Solutions Business Architect

Remote

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4d ago

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: This position is for a Facets SME that can be responsible for streamlining the data flow and design of batch processes to resolve claims quicker and meet the SLAs for

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Contract

Depends on Experience

Facets Configuration Analyst

Remote or Almont, Colorado

•

Today

Description: Remote Our client seeks a Facets Configuration Analyst to configure and support packaged software for healthcare claims and benefits. The analyst will lead complex facets product builds, interface design specifications, and file configuration to ensure accurate claim payments. The role includes requirements analysis, solution design, implementation, and ticket-based troubleshooting, with approximately two weeks of shadowing for training. Due to client requirements, applicants mus

Contract

FACETS Developer

Remote or Hybrid

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3d ago

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

Sr. FACETS .Net Developer

Remote or Hybrid

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3d ago

Remote Only W2 No Corp to Corp Must have " Health Insurance / Payer Domain exp Experience with scripting technologies such as Bash and .NET. Knowledge of job scheduling and workload automation tools, including Control-M. Experience supporting large-scale healthcare payer environments. Strong understanding of FACETS architecture, performance optimization, and platform best practices. Excellent analytical, problem-solving, and communication skills. Experience working in highly regulated healt

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Contract

Trizetto facets jobs in Chicago, IL, USA