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Yesterday

Title: Facets SQEIntroduction:We are currently seeking a skilled Facets SQE (Software Quality Engineer) to join our team. The ideal candidate will have 8+ years of experience in the healthcare domain, specifically with Facets, and possess strong communication skills. This position is remote, allowing for flexibility in work location. Responsibilities:Conduct testing on healthcare applications utilizing FacetsGather and analyze requirements for quality assuranceValidate data to ensure accuracy an

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Contract, Third Party

Depends on Experience

Facets Generalist

Remote

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9d 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

Facets NetworX Developer

Remote

•

3d 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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Contract, Third Party

Depends on Experience

Facets NetworX Engineer

Remote

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3d 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

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 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

Facets & SQL Analyst

Remote

•

7d 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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Contract, Third Party

Depends on Experience

Facets Provider Configuration Analyst

Remote

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3d 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

NetworX Facets Consultant

Remote

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5d 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 Workflow Consultant

Remote

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8d 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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Contract, Third Party

$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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Third Party, Contract

Depends on Experience

Facets Developer - NetworX configuration analyst

Remote

•

Today

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

Workflow Expert with Facets-Remote

Remote

•

5d 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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Contract, Third Party

Depends on Experience

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

Woodland, California

•

Today

Job Description : 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 view ie data models, architecture and process flow 4 Good experience in working with Business and technical teams to prepare system requirements and Technical an

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Third Party, Contract

55 - 60

Dotnet Developer with Facets and Healthcare Exp Onsite

Mountlake Terrace, Washington

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24d 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

Healthcare QA Test Lead Facets Claims & EDI (837/835/834) | Functional Testing Cincinnati - OH - Ohio

Cincinnati, Ohio

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Today

Cincinnati OH Job Description: >> Strong SME knowledge in Healthcare Claims Processing lifecycle >> Expertise in EDI formats 837 (PID), 835, 834 >> Hands-on experience in Facets (Claims + Enrollment modules) >> Proficiency in Azure DevOps (ADO) for QA tracking >> Knowledge of HIPAA compliance and payer systems >> 8+ years of experience in Healthcare QATesting >> 4+ years of experience as Test Lead in Facets projects >> Deep understanding of Claims Adjudication & Payment workflows >> Experience

Third Party, Contract

$44 - $44

Facets Integration Software Engineer #1822

Des Moines, Iowa

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Today

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

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