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 focuses on configuring claims processing rules and supporting testing. Key Responsibilities • Configure claims processing rules, pricing methodologies and adjudication logic in FACETS • Work through pends, errors and exceptions • Turn BA requirements into FACETS configuration • Support UAT and production claims testing • Maintain reference tables (CPT, HCPCS, ICD-10, revenue codes) Requirements • 3+ years of hands-on FACETS Claims configuration (workflow experience required) • Solid understanding of the claims lifecycle (837/835, EOB/EOP) • SQL for claims data analysis • Payer domain experience: Medicare, Medicaid or Commercial Benefits