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Remote

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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

Senior Facets Configuration Analyst

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

Facets Configuration Analyst

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

Senior Healthcare Facets Analyst OR Senior Facets Configuration Analyst

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

Benefits Configuration Analyst - Facets

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

FACETS Consultant (with Pre-Auth/UM configuration)

Remote

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18d 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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Contract, Third Party

$55 - $57

Facets System Analyst

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

Facets Benefit Configuration Consultant

Remote or 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, Third Party

$70

Business Systems Analyst(Facets)

Hybrid in Grand Rapids, Michigan

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21d 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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Third Party, Contract

Depends on Experience

Business Systems Analyst(Facets)

Hybrid in Grand Rapids, Michigan

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21d ago

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Third Party, Contract

Depends on Experience

Senior Network Engineer CCNP

Alexandria, Virginia

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6d ago

Job Title: Senior Network Engineer CCNP Location: Bolling AFB, DC Type: Contract Compensation: $180,000.00 - $210,000.00 Contractor Work Model: Onsite Hours: 40.0 Security Clearance: TS/SCI Responsibilities Translate stakeholder and Government requirements into network solutions, modifications, and support upgrades (network reconfiguration, hardware and software acquisitions, installation, and testing). Provide executive-level government agency support related to designing, deploying, and ensu

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Contract, Third Party

$210000

Facets Migration Lead

Remote

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4d ago

Hi, I would like to share an excellent opening Contact Facets Migration Lead do go through the details and kindly send me the updated resume. Location : Remote Type of Hire : Contract Mode of interview : WebEx / Teams Roles & Responsibilities: Create the Data Migration Solution Vision Document (joint effort between Solutions Architect and Data Migration Team Lead) to obtain Client Approval. Review Project SOW internally with the DM team to set expectations of the project. Keep DM Team Lead in

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Contract, Third Party

Depends on Experience

Facets Migration Lead

Remote

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4d 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

System Engineering - Configuration Management

Orlando, Florida

•

Today

Job Description We are Lockheed Martin The ideal candidate will be familiar with Agile and Dev/Sec/Ops methodologies and tools, such as Subversion, Confluence, Jira, Git, and GitLab/GitHub, Jenkins, TeamCenter PDM. The candidate will interface with cross-functional leads, engineers, and other stakeholders to achieve program objectives in accordance with the program schedule. The candidate must be a self-starter, capable of effectively managing multiple tasks, and have strong computer skills, w

Full-time

USD 89,300.00 - 157,550.00 per year

Facets Test Engineer

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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Contract, Third Party

Depends on Experience

Business Systems Analyst

Hybrid in Grand Rapids, Michigan

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20d ago

NO SUBCONTRACTS, C2C or 1099 applicants. W2 only. Custom Business Solutions is seeking a Business Systems Analyst for a hybrid contract opportunity in West Michigan. The ideal candidate has a background in healthcare or information systems, with the ability to work under minimal supervision to formulate and define systems scope, develop information systems, and revise existing system logic as necessary. Required Skills3-5 years of relevant field experience with a required Associate's Degree or

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Contract

$55 - $60

Linux Systems Engineer - Member Engineering Staff

Moorestown, New Jersey

•

Today

Job Description WHAT WE'RE DOING "We are leveraging emerging, digitally-enabled capabilities to lower cost, speed up development time and create original solutions to best serve our customers and stakeholders. We're bringing the 4th Industrial Revolution to every role in the company. Are you ready to invent the future? Lockheed Martin Rotary & Mission Systems is on a journey of digital transformation as we utilize our data, modernize our processes and advance technology to advance our positio

Full-time

USD 75,000.00 - 135,961.00 per year

Facets Automation Test Engineer

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

Configuration Management Engineer - Early Career

Owego, New York

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Today

Job Description Lockheed Martin Rotary & Mission Systems is seeking a full-time Early Career Configuration Management Systems Engineer. In this role, you will manage all facets of configuration and data management -including product deliveries, status accounting, baseline control, and the engineering change review process-by processing Problem Reports (PRs) and Engineering Change Notices (ECNs) and leading PR/ECN board reviews for parts, cable and mechanical drawings, Bills of Materials, and re

Full-time

USD 49,700.00 - 87,515.00 per year

Turnkey Developer -Philadelphia

King of Prussia, Pennsylvania

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Today

Be a part of our mission! As a world leader in creating comfortable, sustainable, and efficient climate solutions for buildings, homes and transportation, it's our responsibility to put the planet first. For us at Trane Technologies, and through our businesses including Trane and Thermo King, sustainability is not just how we do business-it is our business. Do you dare to look at the world's challenges and see impactful possibilities? Do you want to contribute to making a better future? If the

Full-time

USD 81,800.00 - 146,720.00 per year

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