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Remote

•

14d ago

Facets NetworX Engineer Location: Remote Required Skills Experience with Facets Strong hands-on experience with NetworX Configuration Experience with Provider Contract Configuration Experience with Reimbursement Configuration and Fee Schedules Healthcare Payer domain experience (Commercial, Medicare, or Medicaid) Knowledge of Claims Processing SQL Responsibilities Configure and maintain Facets NetworX. Configure provider contracts, reimbursement methodologies, and fee schedules. S

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Contract, Third Party

Depends on Experience

NetworX Facets Consultant

Remote

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16d 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

Facets NetworX Developer

Remote

•

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

Facets Developer - NetworX

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.

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Contract, Third Party

Depends on Experience

Facets Configuration Analyst || Remote

No location provided

•

Today

Job Summary (List Format): - Hands-on experience with Facets system, specifically in reimbursement, provider payment, or claims pricing functions - Expertise in NetworX Pricer, including pricing validation, troubleshooting, and managing reimbursement operations - Ability to interpret Provider Contracts and translate contract terms into reimbursement system configurations - Strong knowledge of healthcare reimbursement methodologies (e.g., DRG, APC/MAPC, EAPG, RBRVS, Fee Schedules) - Experienc

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Contract, Third Party

Facet Developer

Remote

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6d 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

Facets Provider Configuration Analyst

Remote

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14d ago

Facets Provider Configuration Analyst Location: Remote Job Summary We are seeking an experienced Facets Provider Configuration Analyst with strong expertise in Facets Provider Configuration and the U.S. healthcare payer domain. The candidate will be responsible for configuring and maintaining provider data, provider contracts, and provider networks within the Facets platform while supporting claims processing and production issues. Responsibilities Configure and maintain provider

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Contract, Third Party

Depends on Experience

Facets Developer (Remote)

Remote

•

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

Facets Generalist

Remote

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20d ago

Facets Generalist Job Location Remote Duration- 6+ Months Experience level 10+ years Mandatory Skills Facets Generalist Job Description AFacets Generalistis a healthcare payer professional who possesses functional and technical knowledge across multiple modules of theFacetsplatform rather than specializing in a single area. They support configuration, business analysis, testing, implementation, and production support activities across the Facets ecosystem. Key Responsibili

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Third Party, Contract

Depends on Experience

Project Manager with Facets

McLean, Virginia

•

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

Workflow Expert with Facets-Remote

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

Facets & SQL Analyst

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

Software Engineer with Facets

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

Facets Workflow Consultant

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

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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Contract, Third Party

Depends on Experience

Looking for Facets QA Lead || Kansas City, MO || Fulltime

Kansas City, Missouri

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6d ago

Hi, Hope you are doing well. We do have a position for Facets QA Lead with our client. Please find the details below and if interested please send me your updated word format resume. Tittle: Facets QA Lead Location: Kansas City, MO Duration: Fulltime Experience : 8-10 Years Must Have Technical/Functional Skills: Strong SME knowledge in Healthcare Claims Processing lifecycle.Expertise in EDI formats 837 (P/I/D), 835, 834.Hands-on experience in Facets (Claims + Enrolment modules).Proficiency in

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Full-time

$120,000 - $140,000

BSA – Facets & EDI 834 (Remote)

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

Software Engineer(Facets)

Remote or Decatur, Georgia

•

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

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