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V-Soft Consulting Group, Inc
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Contract, Third Party
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UNICOM TECHNOLOGIES INC
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Tanisha Systems, Inc.
Edison, New Jersey • 5d ago
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Full-time, Third Party
Depends on Experience
Facets Workflow Configuration Analyst
Contract (W2)
Remote (United States)
Key Responsibilities
Analyze business and operational requirements and translate them into Facets Workflow configuration.
Design, configure, maintain, and enhance workflow processes based on business requirements.
Configure and support:
Workflow queues and workbaskets
Routing and assignment rules
Business rules and workflow conditions
Priorities and work item distribution
User/team-based workflow assignments
Exception and manual-review workflows
Understand upstream and downstream impacts of workflow configuration across claims and other Facets operational processes.
Analyze current-state workflows and identify opportunities for workflow optimization and automation.
Troubleshoot workflow routing, assignment, queue, and processing issues.
Perform root-cause analysis for production workflow defects and recommend appropriate configuration changes.
Develop functional requirements, configuration specifications, process flows, and supporting documentation.
Support unit testing, system integration testing, UAT, regression testing, and production validation.
Work closely with business users, operations teams, developers, testers, and other Facets configuration teams.
Support implementation activities including configuration validation, defect resolution, deployment readiness, and post-production support.
Ensure workflow configuration aligns with approved business requirements and operational processes.
Required Skills
Strong hands-on experience with Facets Workflow configuration.
Good understanding of Facets architecture and healthcare payer operations.
Experience configuring workflow routing, queues/workbaskets, assignment rules, priorities, and exception handling.
Strong understanding of claims processing workflows and operational exception handling.
Ability to analyze complex workflow scenarios and translate business requirements into configuration solutions.
Experience troubleshooting production issues and performing root-cause analysis.
Experience developing functional/configuration documentation and test scenarios.
Strong analytical, communication, and stakeholder-management skills.
Ability to work independently with business, configuration, development, and testing teams.
Preferred Skills
Experience with NetworX and broader Facets configuration is an advantage.
Exposure to provider, product/benefit, membership, claims, pricing, or reimbursement-related processes.
Experience supporting Facets implementation, migration, upgrade, or transformation programs.
Understanding of healthcare payer business processes and end-to-end transaction flows.
Experience with SQL/data analysis for configuration validation and troubleshooting is preferred.
Experience
10+ years of healthcare payer/IT experience preferred.
7+ years of hands-on Facets Workflow configuration experience is must.
Experience working directly with business and operations teams to design and implement workflow solutions.
ConnectTel, Inc. is a privately held software engineering company established in 1996. Headquartered in Austin, Texas, ConnectTel has earned its reputation as a reliable and high quality solutions provider for technology companies and state agencies. For over 14 years, ConnectTel has been solving business problems through Information Technology from its toughest Enterprise Class clients (DELL, AMD, ERCOT, FREESCALE, WAYNE, TWDB, ERS, & DADS) to the small business owner.
Whether it's by providing quality IT Staffing Services (Direct Placement and Staff Augmentation), IT Consulting, or successfully completing Deliverables Based IT Projects, ConnectTel strives to provide innovative solutions without compromising quality, cost, and time.
Our extensive professional network of local IT specialists can be leveraged to expedite critical staffing, consulting, or project needs. Additionally, our local executives and account team are accessible. They can be mobilized by you on short notice for initial consultation meetings, follow up meetings, as well as triage situations.
ConnectTel's consultants have an in-depth understanding of various technologies and strive to provide the customer with the best solution for their problem. With its focus on details and meticulous planning, ConnectTel has been able to successfully complete critical projects for various government agencies and fortune 500 clients.
In addition, ConnectTel's senior partners leverage over 50 years experience in the rapidly changing information technology field. Their vision, experience, and technical knowledge allow ConnectTel to continue providing its customers with the highest quality IT solutions and staff.
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