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Remote

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Today

Facets Developer 100% Remote Required Skills Must have hands-on experience with Facets (Member, Claims, Providers, Accum, and Open Access Services/Web REST APIs). Experience designing, building, and deploying intelligent systems powered by Generative AI and Agentic AI frameworks is highly preferred. Strong understanding of SQL databases, including query optimization and data modeling, as well as familiarity with healthcare standards and regulations such as HIPAA, HL7, and FHIR. Strong u

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Contract

Depends on Experience

Lead Facets Consultant || FULLY REMOTE ROLE ||

Remote

•

Today

Hello, Hope you are doing well! Position: Lead Facets Consultant Location:REMOTE ROLE Duration: 12+ months Contract Job description Position Description: Act as the functional and technical lead for Member Enrollment Application Support any business queries related to member enrollment Leading the development team of 5-6 developers and anything related to enrollment Resolve tier 2 application tickets Provide input to development team to solve those incidents Required Skills: 8+ years of

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Third Party, Contract

$70 - $75

Facets Workflow Consultant

Remote

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8d ago

Hi Professionals, Title:Facets Workflow Consultant 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 teamsoften re

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Third Party, Contract

Depends on Experience

Utilization Management with Facets & Pre-Auth (Prior Authorization)

Remote

•

Yesterday

As aPre-AuthConsultantyou 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 Configuration ITS/Authorization Routing Logic SQL & Rule Traceability 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 stakeho

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Contract

Depends on Experience

Facets Developer Payer Systems

Woodland, California

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14d ago

Job title: Facets Developer Payer Systems Location: Woodland Hills, CA or Mason, OH or Louisville, Kentucky (Hybrid/Onsite) Job type: Full time and Contract c2c both. Interview: Video Note: 1 A technical system analyst with good understanding of the healthcare process flow Eligibility & Enrollment Provider contract pricing Claims adjudication Billing Appeals and Grievances 2 Technical understanding of Sql and Dot net full stack preferable 3 knowledge of Facets platform from a developer point of

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Full-time

Depends on Experience

Facets Workflow Consultant

Remote

•

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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Third Party, Contract

Depends on Experience

Facets Developer

Remote

•

Today

Must have 10+ years of experience in IT Strong experience in Java, Tomcat, and Web Services (SOAP/REST).Hands-on experience with Edifecs (Routing & Mapping).Strong knowledge of EDI X12 transaction processing.Experience with SQL and Stored Procedures.Experience in healthcare payer/provider EDI integrations.Strong analytical and troubleshooting skills.Support and enhance BlueCard sustainment and modernization projects.Design, develop, and maintain EDI Real-time transaction processing solutions.Dev

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Third Party, Contract

Depends on Experience

Dotnet Developer with Facets and Healthcare Exp Onsite

Mountlake Terrace, Washington

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9d ago

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. Responsible for designing, developing, and supporting .NET-based solutions that facilitate healthcare workflows and comprehensive data management. This

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Contract

Depends on Experience

Facets Integration Software Engineer #1822

Des Moines, Iowa

•

Yesterday

Company Description Job Description DUTIES: Wellmark, Inc. seeks a Facets Integration Software Engineer based out of our office at 1331 Grand Avenue, Des Moines, IA 50309. Note, this is a hybrid position whereby the employee will work both from home and from the aforementioned office address. Hence, the employee must live within a reasonable commuting distance of the aforementioned office address. Design, develop, test, implement, maintain, debug, and document complex integration solutions in

Full-time

USD 21.00 per hour

Pre-Auth Consultant (FACETS UM/Pre-Auth)

Remote

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2d ago

Hi Professionals, Title: Pre-Auth Consultant (FACETS UM/Pre-Auth) Experience: 10+ Years Location: Remote < data-end="123" data-start="98">Key Responsibilities Configure and manage UM/Pre-Auth processes in FACETS. Work closely with clinical and utilization management stakeholders. Analyze and implement complex authorization rules and configurations. Ensure compliance with clinical guidelines, UM workflows, and state mandates. Support healthcare application enhancements following development

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Contract, Third Party

Depends on Experience

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