13 results (4 new)
McLean, Virginia
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Today
Project Manager with FacetsExp: 8+Location: Mclean VA 8 12 years of experience in project management, preferably in technology or enterprise programsStrong experience with Agile/Scrum and/or Waterfall methodologiesExcellent stakeholder management, communication, and leadership skillsExperience working with distributed and vendor teams
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Contract, Third Party
$60 - $70
McLean, Virginia
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Today
Software Engineer: No of Positions - Multiple Mc Lean VA - (Hybrid and few remote) 8 years of software design/development, testing, and requirements management experience. Strong healthcare domain knowledge with deep understanding of ITS claims processing. Deep understanding of Facets integration components, data models, Membership/Claims architecture, and Facets FXI services. Knowledge of Oracle/SQL Server, Java, microservices, CI/CD, cloud (AWS/Azure), and preferably IBM MQ / AS400.
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Contract, Third Party
$60 - $70
Remote
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7d ago
Position: Facets NetworX developer Location: Remote Job Description Ability to create/ update NetworX Pricing data like Agreements, Rate Sheets, Rate Terms, Qualifier Groups, Fee Schedule, Networks, Provider Rows. Ability to read Provider Contracts/ Agreements & map to Rate Terms. Ability to Automate loading of NetworX Pricing data using C# API/ SQL Scripting.
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Contract
Depends on Experience
Remote
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Today
Title: Facets Developer Position: Remote Type: Contract to Hire Job Description: 5+ years of Healthcare payer experience a must3+ years of FACETS, FACETS extensions, and Member experience a must and surrounding application areasEDI 834 and 820 knowledge3+ years SQL query and debugging, performance improvement experience is an absolute must3+ years hands-on development in Web Technologies Angular or React, .Net to create RestAPIs very highly preferred (must for now)AI assisted coding experience
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Contract
Depends on Experience
Remote
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14d ago
Hello, We have an opening for the role mentioned below with Our Client. Please review the job description and let me know if it aligns with your experience and interests. If so, kindly share your updated resume. Thank you. Position: Facets NetworX Developer Location: Remote JD: Ability to create/ update NetworX Pricing data like Agreements, Rate Sheets, Rate Terms, Qualifier Groups, Fee Schedule, Networks, Provider Rows. Ability to read Provider Contracts/ Agreements & map to R
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Third Party, Contract
Depends on Experience
Remote
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16d ago
Hi Professionals, Title: Workflow Expert with Facets Location: Remote JD: A Facets Workflow Consultant analyzes and optimizes claims and benefits workflows within the Facets platform. The role involves reviewing existing workflow rules, identifying customizations, understanding business outcomes, and supporting clients in improving claims and benefits operations. The consultant must have strong Facets knowledge, analytical skills, and the ability to work with crossfunctional teamso
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Third Party, Contract
Depends on Experience
Remote
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19d ago
Position: Facets Workflow Consultant Location: Remote Employment: Contract Job Summary: A Facets Workflow Consultant analyses and optimizes claims and benefits workflows within the Facets platform. The role involves reviewing existing workflow rules, identifying customizations, understanding business outcomes, and supporting clients in improving claims and benefits operations. The consultant must have strong Facets knowledge, analytical skills, and the ability to work with crossfunctio
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Third Party, Contract
$55 - $55
Remote
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18d ago
Hi Professionals, Title:Facets & SQL Analyst Location: Remote JD: Facets Support & Analysis Analyze, maintain, and support Facets applications and business processes. Work with business users to gather, document, and validate requirements. Perform impact analysis for system enhancements, configuration changes, and production issues. Support Facets modules including Claims, Membership, Provider, Benefits, and Billing. Investigate and resolve data and system-related issues within Facets.
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Third Party, Contract
Depends on Experience
Remote
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17d ago
Position: NetworX Facets Consultant Location: Remote Employment: Contract Mandatory Skills NetworX Pricer (NetworXPricer) Strong hands-on configuration experience. Facets Experience with Facets claims and provider reimbursement modules. Provider Contract Configuration Configuring and maintaining provider reimbursement contracts. Provider Reimbursement Methodologies Understanding of fee schedules, contract terms, and reimbursement rules. Fee Schedule Configuration Building and mai
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Contract, Third Party
$45 - $50
Remote
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Today
Candidate Must have over 10+ years of experience. Must have Healthcare Domain experience 58 years as a Business or System Analyst working with Facets. Strong understanding of claims workflows, provider validation, and benefits administration. Experience reviewing large rule/configuration repositories. Solid knowledge of US healthcare payer operations. Ability to interpret and analyze complex rules and configurations.
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Contract, Third Party
Depends on Experience
Remote
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4d ago
Ability to create/ update NetworX Pricing data like Agreements, Rate Sheets, Rate Terms, Qualifier Groups, Fee Schedule, Networks, Provider Rows. Ability to read Provider Contracts/ Agreements & map to Rate Terms. Ability to Automate loading of NetworX Pricing data using C# API/ SQL Scripting.
Easy Apply
Contract, Third Party
Depends on Experience
Remote
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4d ago
Hi Professionals, Title:BSA Facets & EDI 834 (Remote) JD: Required Experience 10+ years of experience in healthcare enrollment and EDI processing. Strong hands-on experience with ANSI 834 Enrollment Transactions. Experience working with healthcare enrollment platforms (Facets preferred). Strong analytical, testing, and issue-resolution skills. Key Responsibilities Process and manage inbound/outbound ANSI X12 834 enrollment files. Validate, test, and audit enrollment data for accuracy and
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Contract, Third Party
Depends on Experience
Remote or Decatur, Georgia
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Today
Stellar Consulting Solutions is a boutique business & technology consulting company headquartered in Atlanta, GA. We deliver high quality, agile, and experienced workforce for niche technology projects of any scale. We help forward thinking clients to solve specific problems by understanding their needs and align talent that can move fluidly to match skill supply and demand on a real-time basis. Stellar Consulting has a unique combination of technical and digital skills to recruit, engage, and
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Contract
$$45-50/hr on w2
