Jobs → Data & Analytics → FACETS Claims Configuration Analyst

About the Role We are looking for a FACETS Claims Configuration Analyst to join our team. This role involves configuring and managing healthcare claims systems. Key Responsibilities • Configure FACETS Claims systems • Manage Claims Adjudication processes • Implement Pricing Rules and workflows • Work with 837/835 standards • Utilize SQL for data management • Apply CPT/HCPCS/ICD-10 coding • Ensure Healthcare Payer Experience standards Requirements • Experience with FACETS Claims Configuration • Knowledge of Claims Adjudication and Workflow • Understanding of Pricing Rules • Familiarity with 837/835 standards • SQL proficiency • Healthcare Payer Experience • Knowledge of CPT/HCPCS/ICD-10 coding • Experience with CMS/NCQA Compliance