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Today

Role: FACETS Lead Duration: 6+ months Job Description: We are seeking an experienced FACETS G6 Technical Lead with deep expertise in Claims, Benefits, and Utilization Management modules. The ideal candidate brings a combination of domain knowledge, hands-on implementation experience, and configuration proficiency within the TriZetto FACETS platform, with the ability to lead technical teams, guide solutioning, and drive end-to-end delivery in a healthcare payer environment

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Contract, Third Party

$60+

Facets Migration Lead

Remote

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4d ago

Hi, I would like to share an excellent opening Contact Facets Migration Lead do go through the details and kindly send me the updated resume. Location : Remote Type of Hire : Contract Mode of interview : WebEx / Teams Roles & Responsibilities: Create the Data Migration Solution Vision Document (joint effort between Solutions Architect and Data Migration Team Lead) to obtain Client Approval. Review Project SOW internally with the DM team to set expectations of the project. Keep DM Team Lead in

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Contract, Third Party

Depends on Experience

Facets Migration Lead

Remote

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4d ago

Roles & Responsibilities: Troubleshoot problems ranging from coding issues, connectivity issues, and client relation issues. Utilizing the architecture defined by the Solution Architect, implement a data migration framework for the Client. Manage intake of Client extracts. Communicate any data issues to client technical resources. Where applicable, act as the liaison between the DM client facing Business Analyst and the DM Development Team to ensure business processes, requirements, and spec

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Full-time

80 - 90

Staff Customer Experience Professional

San Diego, California

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Today

Overview Intuit?s Customer Success team is transforming the industry through expert-led professional services, powered by data and technology. The Staff Customer Experience Professional role operates as a strategic individual contributor focused on services as a product. As a Staff Customer Experience Professional you?ll lead cross-domain strategy and innovation across the TurboTax Assisted portfolio (Activate Experts, Full Service, and Do-It-With-Me), while directly working with domain teams t

Full-time

Facets Configuration Analyst

Remote

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4d ago

Acts as the primary EDI and Facets HIPAA Gateway (HGW) subject matter expert for the POC, responsible for configuring, customizing, and supporting 837/835 transaction processing. JD: Hands-on experience with Facets HIPAA Gateway (configuration and support) REQUIRED Deep hands-on experience with X12 transactions (837/835) REQUIRED Experience configuring trading partners and EDI communication setups Hands-on experience with XSLT for EDI transformations REQUIRED Strong troubleshooting skills

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Contract

50 - 55

FACETS Consultant (with Pre-Auth/UM configuration)

Remote

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18d ago

Position: FACETS Consultant (with Pre-Auth/UM configuration) Location: Remote Employment: Contract Job Description: We are looking for a FACETS UM Consultant with strong experience in Utilization Management (UM) and Pre-Authorization (Prior Authorization) configuration within the FACETS platform. Key Responsibilities: Analyze and review existing FACETS Pre-Auth/UM rules (core & custom) Evaluate rule logic for authorization routing, benefit limits, and medical necessity Identify ga

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Third Party, Contract

$55 - $57

Facets Performance Test Engineer

Remote

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5d ago

Our Client, an IT Services and Consulting company, is looking for a Facets Performance Test Engineer to work remotely. Responsibilities: Analyze and design test scripts for performance testingParticipate in internal/customer review status meetings and coordinate with all project stakeholders to communicate testing progressConduct testing for in-scope requirements and functions according to approved test strategy and test planConduct defect triage meetings with development teams, business teams,

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Contract

58 - 60

Business Systems Analyst(Facets)

Hybrid in Grand Rapids, Michigan

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20d ago

Job Title: Business Systems Analyst 100% Hybrid: Onsite Cadence- Two days per week (Tuesday and second day TBD) Expenses allowed: TBD Equipment to be Provided Must Have Critical thinking skills Effective time management Expert Facets claims processing and configuration knowledge. Extensive medical coding and billing. Moderate clinical edit knowledge. Prior Optum CES or other clinical edit vendor knowledge. Problem solving skillsJob Summary: Under minimal supervision, formulates and defines syste

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Contract, Third Party

Depends on Experience

Business Systems Analyst(Facets)

Hybrid in Grand Rapids, Michigan

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20d ago

Easy Apply

Third Party, Contract

Depends on Experience

Facets Test Engineer

Remote

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6d ago

Hi, I would like to share an excellent opening Contact Facets Test Engineer do go through the details and kindly send me the updated resume. Location : Remote Type of Hire : Contract Mode of interview : WebEx / Teams Client : Cognizant Must Have's: CWR must have worked in the US the past 3 years Test Automation, Test Data Management, Cloud Migrations, Business Workflows Testing * 6 8 years of overall testing experience, with 2 4+ years of hands-on Facets testing and healthcare domain experie

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Third Party, Contract

Depends on Experience

Facets Migration SME

Remote or Maryland

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Today

Facets Migration SME Remote Responsibility Executes data conversion strategy, mapping, validation, and reconciliation to support accurate, auditable migration of CMS program data. Role Requirements 1)Minimum 7 years Facets Experience 2) Minimum 3 years working on Facets transformation projects involving data migration 3) Excellent communicatiopn skills 4) Proficency in a minimum of 5 Facets modules with 1 being Practitioner and 1 being Facets Membership 5)Must have experience in Facets ve

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Third Party, Contract

$$80/Hr C2C

Healthcare System Analyst – Payer Systems (Facets, Java & React Platforms)

Los Angeles, California

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6d ago

Required Qualifications Bachelors degree in Information Systems, Healthcare, or related field. 610+ years in healthcare payer domain. Strong expertise in: Facets (benefits configuration, claims processing) Healthcare payer workflows end-to-end Solid understanding of: Java enterprise architecture (Spring Boot, microservices) REST API design and integration patterns React-based UI applicationsPreferred Qualifications Experience with digital transformation programs in payer organizations. Knowledge

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Contract, Third Party

58 - 60

Facets NetworX configuration analyst

Remote

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5d 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.

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Contract, Third Party

50 - 55

Benefits Configuration Analyst - Facets

Remote

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3d ago

Benefits Configuration Analyst- Facets 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, thereby advising on optimal solutions.Manage non-standa

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Full-time

$55,000 - $65,000

Facets Automation Test Engineer

Remote

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3d ago

Must Have s: CWR must have worked in the US for the past 3 years Test Automation, Test Data Management, Cloud Migrations, Business Workflows Testing, Integrations/E2E testing * 4 6 years of automation and testing experience with 2 - 4+ years in healthcare payer system and 3 5+ years automating Facets applications. * Design, develop, and maintain automated test scripts using Selenium and WebDriver for Facets UI based business workflows. * Build and enhance robust test automation frameworks (data

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Contract, Third Party

Depends on Experience

Facets Migration Lead / Facets Configuration Analyst / Facets Performance Test Engineer / Facets Testing Architect

Remote

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Today

Facets Migration Lead: Create the Data Migration Solution Vision Document (joint effort between Solutions Architect and Data Migration Team Lead) to obtain Client Approval. Review Project SOW internally with the DM team to set expectations of the project. Keep DM Team Lead in the know on any potential red flags (i.e. date slippage on design deliverables, scope creep, etc). Responsible for creation of DM Functional Design for Initial and Final Approval Process. Maintain a thorough understandi

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Contract

Depends on Experience

Jr. Engineer - Albany, NY

Albany, New York

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Today

Jr. Engineer - Albany, NY US-NY-Albany Job ID: 2026-3313 Type: Regular Full-Time # of Openings: 1 Category: Construction Management LiRo-Hill Overview We are looking for a Jr. Engineer for Environmental Programs based in Albany, NY The client for this role is the NYS Office of General Services (OGS) Design & Construction Division. Liro-Hill is ranked among the nation's top A/E firms by Engineering News-Record, LiRo-Hill provides construction management, engineering, environmental, architect

Full-time

USD 75,000.00 - 90,000.00 per year

Jr. Engineer - Environmental Division - Pearl River, NY

Albany, New York

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Today

Jr. Engineer - Environmental Division - Pearl River, NY US-NY-Albany Job ID: 2026-3314 Type: Regular Full-Time # of Openings: 1 Category: Construction Management LiRo-Hill Overview We are looking for a Jr. Engineer for the Environmental Division based in Pearl River, NY The client for this role is the NYS Office of General Services (OGS) Design & Construction. Liro-Hill is ranked among the nation's top A/E firms by Engineering News-Record, LiRo-Hill provides construction management, enginee

Full-time

USD 80,000.00 - 95,000.00 per year

Senior Facets Test Architect - Healthcare Payer

Englewood, Colorado

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Today

Senior Facets Test Architect Location: Remote Employment Type: Full-Time Job ID: Job Title: Senior Test Architect ? Facets (Healthcare Payer) About the role As a Senior Test Architect, you will make an impact by designing and owning the end?to?end testing architecture for Facets?based healthcare payer systems. This role plays a critical part in ensuring quality, scalability, and reliability across complex claims processing, integrations, data migrations, and modernization initiatives. You will

Full-time

Compensation information provided in the description

Commissioning Project Engineer

Remote or Tampa, Florida

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Today

JLL empowers you to shape a brighter way. Our people at JLL are shaping the future of real estate for a better world by combining world class services, advisory and technology for our clients. We are committed to hiring the best, most talented people and empowering them to thrive, grow meaningful careers and to find a place where they belong. Whether you've got deep experience in commercial real estate, skilled trades or technology, or you're looking to apply your relevant experience to a new in

Full-time

USD 85,000.00 - 120,000.00 per year

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