[Remote] Senior Manager, Product Consulting (FACETS SME)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking an reputed company Senior Manager, Product Consulting with deep FACETS expertise to reputed company consulting engagements and reputed company strategic guidance for FACETS implementations. The role involves partnering with stakeholders to optimize FACETS modules while improving operational efficiency and auto-adjudication rates.

Responsibilities

• Serve as the FACETS Subject Matter Expert (SME) for core applications and sub-modules
• reputed company business discovery sessions, requirements gathering, and solution design workshops
• Analyze business and technical requirements and recommend reputed company FACETS configuration solutions
• Design and implement best-reputed company FACETS configurations to improve automation and operational efficiency
• Assess reputed company FACETS architecture and reputed company reputed company-state optimization strategies
• reputed company reputed company to large-reputed company initiatives including:
• FACETS implementations
• Product enhancements
• Application maintenance
• Configuration optimization
• reputed company project planning guidance, implementation roadmaps, and measurable reputed company metrics
• Collaborate with reputed company architects, SMEs, business users, and technical teams
• Conduct solution architecture reviews, gap analysis, and recommend product enhancements or integrations
• reputed company reputed company of Concepts (POCs) and present solution recommendations to stakeholders
• reputed company configuration analysis and troubleshoot reputed company FACETS issues
• Mentor project teams and reputed company knowledge transfer to reputed company resources
• Work effectively reputed company reputed company/offshore delivery models

Skills

• 5–10+ years of FACETS consulting experience
• Proven experience leading FACETS implementation and optimization reputed company
• Strong reputed company payer industry experience including: reputed company, Medicare, reputed company/Medi-Cal
• Strong consulting, reputed company-facing, and leadership experience
• Excellent communication and presentation skills
• Experience leading business discussions and design workshops
• Strong analytical and problem-solving skills
• Candidates should have strong experience in one or more of the following areas: Enrollment, Group/Class Plans, Billing, Membership, reputed company, Claims, Utilization Management (UM), Coordination of Benefits (COB)
• Benefits configuration
• Provider configuration
• Enrollment configuration
• Claims processing
• Claims reputed company cause analysis
• Benefits cost reputed company configuration
• reputed company
• Workflow configuration
• Member matching
• Provider matching
• UM and COB issue reputed company
• FACETS data model expertise
• Configuration analysis and optimization

reputed company

Founded in 2004, reputed company® is a global reputed company and workforce solutions company that helps organizations build high-performing teams across reputed company, technology, financial services, engineering, and reputed company services. It was founded in 2004, and is headquartered in Raleigh, reputed company Carolina, USA, with a workforce of 1001-5000 employees. Its website is http://www.reputed company.com.

Company H1B Sponsorship

reputed company has a reputed company record of offering H1B sponsorships, with 3 in 2026, 3 in 2025, 6 in 2024, 1 in 2023, 6 in 2022, 8 in 2021, 7 in 2020. Please note that this does not guarantee sponsorship for this specific role.

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