22 results (9 new)
Remote
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6d 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
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
Remote
•
Today
Title: Senior Healthcare Facets Analyst OR Senior Facets Configuration Analyst Location: Remote, Duration: 12 months Required skills: 3 years of residential requirements in the US; Strong knowledge of the Facets Data Model Expert hands on configuration experience in the following applications: o Facets System Administration o Security profiles o Workflow o NetworX o Product/Benefits 10+ years of Facets configuration experience Thorough understanding of set-up and functionality of the following
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Contract
Depends on Experience
Remote
•
Today
Job Description: Facets configuration analysts with experience in product build and NetworX configuration. Required skills: 3 years of residential requirements in the US; Strong knowledge of the Facets Data Model Hands-on configuration experience within the product Facets module within the last 2 years. 5+ years of Facets configuration experience At least 3 years of experience in Core Functionalities of FACETS which includes Membership, Provider Management, Claim Processing, Billing, Plan/Produ
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Contract
Depends on Experience
Remote
•
Today
Role: Facets Tester Duration: 5 months - Remote Job Description: Define and document test cases in Jira (testing tool) based on requirements Execute test cases Document results Perform re-testing Create and run SQL queries for aggregate analysis Log defects Research parallel testing mismatches of claim outcomes and document reasons for discrepancies (with legacy system results) Required skills: Facets data model expertise Extensive Facets SQL experience End to end Facets claim processing experi
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Contract
$40 - $45
Remote
•
Today
Senior Facets Configuration Analyst Location: Remote Duration: 12+ months Required skills: 3 years of residential requirements in the US; Strong knowledge of the Facets Data Model Expert hands on configuration experience in the following applications: o Facets System Administration o Security profiles o Workflow o NetworX o Product/Benefits 10+ years of Facets configuration experience Thorough understanding of set-up and functionality of the following processes: o Provider o Membership o Claims
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Full-time
Depends on Experience
Remote
•
Today
Role: Sr. Developer Duration: 7 months - Remote Strong hands-on experience with Cognizant / TriZetto Facets, including extensions, batch processes, and integrations Job Description: The Developer (Contractor) is responsible for designing, developing, enhancing, and supporting healthcare systems built on the Cognizant Facets platform. This is a full-time contract position working closely with Technical Analysts, business stakeholders, and infrastructure teams to deliver integrations, extensions,
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Contract
$50 - $60
Remote
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5d 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
Remote
•
Today
Position: Facets System Analyst Location: Remote Duration: 12+ Months As a Facets System Analyst, 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: - Supporting batch and AdHoc member mailings. Researching existing functionality if issues are identified or for impact of new business/project. Working with business partners to confirm/clarify requirements. Documenting details
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Contract
Depends on Experience
Woodland, California
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Today
Job Title: Healthcare Systems Analyst (Facets + Payer) Location: Woodlands, CA - Onsite Duration: Long Term Contract Must Have Deep expertise in healthcare payer processes: Enrollment, Eligibility, Benefits, Claims Adjudication, Billing, Provider Management Strong SQL proficiency: o Complex queries, joins, stored procedures o Ability to analyze data across multiple systems/sources Solid understanding of database design, schemas, and data relationships Proven ability to analyze, reconcile, an
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Contract
60 - 65
Remote
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5d 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
Remote
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19d 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
Remote
•
Today
As an Facets System Analyst, 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.SQL.Excellent communication (listening, written & verbal) and analytical skills.Healthcare Experience.Ability to successfully work on multiple efforts independently and simultaneously.Good to have skills: - JiraMicrosoft (Word, Excel, Teams, SharePoint, Outlook, OneNote, etc.) Intermediate.Fa
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Contract, Third Party
Depends on Experience
Remote
•
6d 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
Hybrid in Grand Rapids, Michigan
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22d 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
Hybrid in Grand Rapids, Michigan
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22d 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
Remote
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7d 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
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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Contract, Third Party
$$80/Hr C2C
Remote
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4d 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
Remote
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4d 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
