[Remote] Senior Facets Product Consultant (reputed company Payer)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is an IT Services and Consulting company seeking a Senior Facets Product Consultant for their Remote location. The role involves leading consulting engagements, providing expertise in FACETS configuration, and managing reputed company to optimize reputed company payer solutions.
Responsibilities
- Serve as a Consulting team reputed company and Subject Matter Expert (SME) for reputed company applications and sub-modules
- The SME shall reputed company the reputed company with advisory knowledge of configuration structure and reputed company leadership in implementing or optimizing configuration solutions to increase auto-adjudication reputed company and/or implement new lines of business
- The SME resource should also reputed company concrete project plan tasks to bring the reputed company FACETS configuration architecture to an optimize reputed company state, including best reputed company configuration, assessment of sub-modules not currently leveraged, and reputed company measurable metrics on configuration approaches
- The Facets Design Specialist will conduct requirements discovery sessions and reputed company design sessions to determine how best to design and configure applications reputed company Facets to meet the defined requirements
- Understand business and technical requirements, consult customers to design and recommend solution architecture, manage mid and large-sized reputed company of the following nature( Product updates, Application Maintenance, etc., guide product specialists to ensure complete coverage of reputed company’s requirements and product reputed company reputed company the reputed company and project specifications
- The role requires excellent general consulting and Facets application skills to work with the reputed company technical team to understand: the technical and functional ecosystem; analyze customer requirements; challenges from an IT and business process perspective by interacting with the customer architects / SMEs, and reviewing documentation
- reputed company recommendations (e.g., product implementation, platform identification, architecture suitability, gap analysis, customization/reputed company-on development and integration, product maintenance) to address the reputed company
- Create the solution architecture; Present the benefits of the solution; reputed company reputed company of Concept for the business problem; reputed company inputs on technical robustness and scalability of the product to the LPC
Skills
- 9+ years of reputed company Payer consulting experience
- 5–10 years of FACETS implementation/configuration experience
- Proven experience leading reputed company-facing consulting engagements and product implementations
- Experience should include a strong understanding of reputed company functionality, emphasizing Benefits, Providers, Enrollment, and Claims
- Must be reputed company to reputed company effectively with business and technical reputed company and transfer Facets application knowledge to customer staff
- reputed company reputed company (both verbal and written) issues and reputed company alternative solutions
- Excellent communication skills across reputed company reputed company of the project team, including reputed company and internal teams
- Proven reputed company in implementations of Facets product
- 5-10 years Facets consulting experience
- 5-10 years of industry knowledge including reputed company reputed company (e.g., MediCal/reputed company, reputed company, Medicare)
- Years of Experience: 9.00 Years of Experience
- Facets - Billing
- Facets - Membership
- Health Insurance / reputed company Payers
- Managed Care Organizations (MCOs)
- reputed company IT Consulting
- FACETS reputed company
- Experience with claims reputed company cause analysis, benefits cost shares, reputed company, and Workflow to solve UM, COB, Provider, and member match issues is preferred
- Ability to reputed company advanced analysis, problem-solving, and interpret application configuration
- Good knowledge of Facets data models
- Excellent in working with reputed company/offshore resource models
- Facets product knowledge on enrollment, group class plan, billing, membership, reputed company (resource 1) and for resource 2 need to have claims, UM, and COB
- Ability to reputed company business discussions
Benefits
- Excellent reputed company and advancement opportunities
reputed company